HomeMy WebLinkAboutPlumbing Permit 94-0043 � CITY OF PRIOR LAKE 3 Y� �,;«�,
PLUMB/NG P�F�IIIIT # �1 �—� 3
O .� P RI�� Applicant: �� �(�-c� Phone: ��D —�7 Z`�
Address:
'�'' y Signature:
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�" � Legal Description: Lot Block Sub:
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Site Address:
Building Permit # PiD #�5 �(�57 0// — f�
���'NESD� NOTE: This permit will no be processed without compiete information.
FIXTURE UNITS
Unit
�uantity Type of Fixture Amount Total
Bath Tub with or withou+ �+�+u►pr $�.00
�ishwasher CLOSED DUE TO �
F�oor �rain I1�IACTIVITY 8/30/O l �
Lavatory (bathroom sir 00
Laundry Tray (1 or 2 companment s�nK� � r.00
Shower Statt $ 6.00
Sinks: $ s•�
Bar Sink $ 6.00
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 $ 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 a�� oO
SURCHARGE .50
GRAND TOTAL $ �S. eS�O
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.
RECEIPT NO. I U _ DATE
ATTFST
11 for all inspect o hours in advance.
4629 Dakota St. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
AN EQUAL OFPORTUNITY EMPLOYER