HomeMy WebLinkAboutPlumbing Permit 95-0171 CITY OF PRIOR LAKE 3�;� �,;«o�
LUMB/NG PERM/T # 93"- /7/
O � PRj ApPlicant: , ne: 86 -64 .�
�, Address r (�..- � ' �� w
'�" y Signature: ,r..
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V � Legal Description: Lot � Blodc Sub: � ��°'�
S+te Address: i SS 4 S— ` �. G► `�
Building Permit # --�� PID # s �� �— �4
��NN E S�� NOTE: This permit wili not be processed without complete inforrnation.
FIXTURE UNITS
Unit
Gluantity 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 Stali $ 6.00
Sinks: $ 6.00
Bar Sink CLOSED DUE TO
wate� c�oset �toi�et> jNACTIVITY 8/3 0/O 1
Rough-ins
� Water Heater .� �.�.
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 $ ZS�Sa
This permit as ganted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing Code and the am nd en thereof.
CEIPT NO. � �� DATE
ATTEST
Call for all inspect' n 4 hours in advance.
4629 Dakota St. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
AN EQUAL OPPORTUNITY EMPLOYER