HomeMy WebLinkAboutPlumbing Permit 95-0050 CITY OF PRIOR LAKE 3: �; ��,;po,
PLUMB/NG PERM/T # ��-.�
� pRlp� Applicant: �.L%O.� h- i4/lP l�L�,lnlffi�Ub Phone: �L��� /.3���
� Address: �9 r � -S �•
'�'' � Signature: �
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V � Legal Description: Lot Block �_Sub: F�t` f1 f�Dd�.
Site Address: J`� � 9 /'VI�1/�/D,L� �� .
Building Permit # � PlD # - a 7o c��/
���'NE5 NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Unit
Quantity Type of Fixture Amount Total
Bath Tub with or without shower $ 6.00
Dishwasher $ 6.00
Floor Drain $ 6.00
Lavatory (bathroom sink) $ 6.00
Laundry Tray (1 or 2 compartment sink) $ 6.00
Shower Stall $ 6.00
Sinks: $ 6.00
Bar Sink $ 6.00
Water Closet (toilet) $ 6.00
Rough-ins $ 6.00
Water Heater $ 6.00
Water Softner $ 6.00
Stand Pipe (washing machine) CLD - °^
sewage E�ector I� SED DUE TO
Backflow Assembiy (RPZ, Double Check, P` � A CTI VITY 8 �
Backflow Assembly Test 3 %1
Lawn Sprinkler $25.00
� Other f �< �' �- % � C�� L � $ 6.00
Minimum Fee $25.00
SURCHARGE .50
GRAND TOTAL $ �.S SG
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 am ndmen thereof.
S 3'-� RECEIPT NO. �� DATE
ATTEST
Call for all inspe ti ns 24 hours in advance.
4629 Dakota St. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
AN EQUAL OPPORTUNTTY EMPLOYER