HomeMy WebLinkAboutPlumbing Permit 95-0166 C ITY O F P R I O R LAKE 3�;�, �,;��
PLUMB/NG PERMIT # Q � �� �
O .� P R j APPlicant: �-� � rJY� .� � r-f at K �/z z-.✓ � Phone: $S e-�r m g' y
�, AddreSS: /2 Z 3 t �tl c c.%/�i T' 13 u-� � s d� !l �.�-t .c � s"s' 33 �
'�" y Signature:
F' . ,.�—
V � Legal Description: Lot f Blodc 1 Sub ��/
Site Address: 5 ��
Building Permit # �� d37L-- PID # � �.� � Od / - ?1
��NN E 5��� NOTE: This perrnit will not be processed without complete infomnation.
FIXTURE UNITS
, Unit
Quantity Type of Fixture Amount Total
1 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: - " ""
Bar sink CLOSED DUE TO
� water c�oset (toi�et� �ACTIVITY $/3 0/O 1
Rough-ins
Water Heater $ 6.00
Water Softner $ 6.00
Stand Pipe (washing machine) $ 6.00
Sewage Ejector $ 6.00
Backflow Assembly (RPZ, Double Chedc, PVB) $25.00
Backflow Assembly Test $10.00
Lawn Sprinkler $25.00
Other $ 6.00
Minimum Fee $25.00
SURCHARGE .50
GRAND TOTAL $ �.�.�D
This permit is granted upon the express condition that said
contractor, shall c�omply in all respects with the ordinaace.s
of the State Plumbing Code and the amendm ts ereof.
�.�o �7 L " IPT NO. .�'�� DATE
ATTEST
Call for all ins s 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