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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 � ,}