HomeMy WebLinkAboutPlumbing Permit 95-0051 CITY OF PRIOR LAKE 3��, �,;�
PLUMB/NG PERM/T # q.s .s7
O � PRI Applicant: �/c� �-i2i►'12 r. �a7�-� Phone: �' � `�� �� �U
�, Address: �� c.� 2 .,� Y, /�c
'�'' y Signature:
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V � Legai Description: Lo Block Su • ��
Site Address:.�����,,t- t�-� �i�b�c /
Building Permit # PID # o�.� �D - �/Z ^a
M �NNE SO�� NOTE: This permit will not be processed without compiete information.
FIXTURE UNtTS
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) $ 6.00
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 $ �3-��
This permit is granted upon the express condition that said
contractor, shall comply in ail respects with the ordinances
of th �3�Plumbing Code and the amf , d en�hereof.
RECEIPT NO. '�it3O �S DATE
ATTEST
Call for all inspec s 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