HomeMy WebLinkAboutPlumbing Permit 95-0053 1 �°°`��J
CITY OF PRIOR LAKE 3�� A�,;��
PLUMB/NG PERMIT # %3 :�3
O � pRlp� Appiicant �} �7 , 1� Phone: �4� ��7q _
Address:
'�'' y Signature:
N
V � Legal Description: Lot B{ock _��Sub: :✓
Site Address: t' �
Building Permit # PID #��- O 3-(�3 d-D
� 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.�
Shower Statl "' "' "'"
sinks: CLOSED DUE TO
Bar sink INACTIVITY 8/3 0/O 1
water closet (toilet)
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 ��". pp
SURCHARGE .50
GRAND TOTAL $ c� S .�C7
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 amend�ents thereof.
.�.h� � RECEIPT NO. ��/ y� DATE
ATTFST
Call for all inspections 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 �
,}