HomeMy WebLinkAboutPlumbing Permit 95-0144 C ITY O F P R I O R LAKE 3�� Applicant
�'� �' ;� Z '�� PLUMBING PERMIT # q S— �� y
! � ll � � Applicant: \ �- Phone: �� �l �7� �/
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�, Address: 7� � �
'�" y Signature:
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V � Legal Description: Lot Block Sub:
Site Address: �S�I � c.e�.J �cQ . `71•�
Building Permit #�— PID #�— �$S 0( �—D
� ESO�� NOTE: This pe�mit wili 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 CLOSED DUE TO s'
Bar sink INACTIVjTy g/30/O1 6
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 � L $ 6.00
� Backflow Assembiy (RPZ, Double Che VB) $25.00 �
Backflow Assembly Test $10.00
Lawn Sprinkler $25.00
Other $ 6.00
Minimum Fee $25.00
SURCHARGE .50
GRAND TOTAL $ C�S� S �
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 amendments thereof.
��, R CEIPT NO. ��2� /yS DATE
s� ri �u..,J- ATTEST
! c�ll for all inspections 24 hours in advance.
4629 Dakota St. S.E., Prior Lake, Minnesota 553'72 / Ph. (612) 447-4230 / FAX (612) 447-4245
AN EQUAL OPPORTUNITY EMPLOYER
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