HomeMy WebLinkAboutPlumbing Permit 95-0041 CITY OF PRIOR LAKE 3:�;�, �,�,;po,
PLUMB/NG PERM/T # �5- �l/
O .� P R j�� Applicant: 1 V C�2� t�-r ��- �S o C� � � IJ G Phone: �� 1-- ����v
Address:
�' � Signature:
N
V � Legal Description: L Block Sub• l
Site Address: �C� �d �^-� �� ►
Building Permit # �—' PID #,�.5 � � �— 00/-�
���'N E S��� NOTE: This permit will not be processed without compiete information.
FIXTURE UNITS
Unit
Cluantity Type of Fixture Amount Totai
Bath Tub with or without shower $ 6.U0
Dishwasher $ 6.U0 (p �
.
Floor Drain $ 6.00 (� , w
Lavatory (bathroom sink) $ 6.�0 � � �
Laundry Tray (1 or 2 compartment sink) $ 6.Ci0 , �v
Shower Stall $ 6.Cb
Sinks: $ 6.Cb �
Bar Sink - - '
Water Closet (toilet) CLOSED DUE TO �� u'
� Rough-ins INACTIVITY 8/30/O1
•.� Water Heater � � �'
� Water Softner $ 6.00 (P . W
� Stand Pipe (washing machine) $ 6.00 W
� Sewage Ejector $ 6.00
Backflow Assembly (RPZ, Double Check, PVB) $25.00
Backflow Assembly Test $10.00
Lawn Sprinkler $25.00
Other $ 6.00
Minimum Fee $25.00 '
SURCHARGE .50
GRAND TOTAL $ �Q -,5�
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing Code and the amendments thercof.
I RECEIPT NO. � � DATE
ATTEST
Call for all ins c ons 24 hours in advance.
4629 Dakota St. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
AN EQUAL OPPORTUNITY EMPLOYER