HomeMy WebLinkAboutBuilding Permit 95-0190 CITY OF PRIOR LAKE 3�� �,�,;p�,
PLUMB/NG PERM/T # 9..�-/9
�� pRlp� Applicant �L PYD �, G�1� C- ���=� Phone: �/�} S-Sa �7
Address: ,5'3 ,� ��# G�� ST /�1 LC
'�'' y Signature: �
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V � Legai Description: Lot f�' Block / Sub: �N�l �t?ivXs+ �fi��y
Site Address: S,�J►'��'
Building Permit # 2 s- v� �r - C�/ y- !� ' PID-i
Ml �'NES�� P NOTE: This permit will not be processed without compie e in ormation.
FIXTURE UNITS
Unit
�uantity 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
ShOW@r Siall "' � M
Sinks:
CLOSED DUE TO
sarsink INACTIVjTy g/30/O1
water closet (toilet)
Rough-ins $ s•�
�l 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 $�..�•.�D
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 ame ents thereof.
��v I ECEIPT NO. II / � DATE
ATTEST
all for all inspecti 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