HomeMy WebLinkAboutPlumbing Permit 95-0066 CITY OF PRtOR LAKE 3: �°;� �,�,;�n�
LUMB/N PERMIT # q s -�G
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O .� PRI�� Applicant: Phone: ��7 ^ 3 7��
Address:
,' � Signature: �
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V � Legal Description: Lot J Block �_Sub:
Site Address: ���o �'S �h o t> � �
Building Permit # -�'�` PID # �S— / �o �� DD�
���'KESO� NOTE: This permit wi!! not be processed without complete intormation.
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: CLOSED DUE TO $ 6
Bar Sink �ACTIVITY 8/3 0/O 1 6
Water Closet (toilE $ 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 $ .,L� . �
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the Sta��umbing Code and the ame dments thereof.
RECEIPT NO. ��� DATE
ATTEST
11 for all inspec n 24 hours in advance.
4629 Dakota St. S.E., Prior ke, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
AN EQUAL OPPORTUNTTY EMPLOYER