HomeMy WebLinkAboutPlumbing Permit 94-0067 C ITY O F P R I O R LA KE 3�;�, �,;q��
PLUMB/NG PERMIT # 9�-6 7
O � PRI�� Appiicant: �o v��i s'1'LLL�nv ��n�� � ��s Phone: ��'Z - �r' �^
{, Address: o?OD � �. a u�'I 3��2
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V � Le escrip ion: Lot Blodc Sub:
Site Address: 3'��✓`� GJ; �/vw' �c�i .Qi1 � S�.
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Building Permit # �D 'G�I.Z. PtD # •�S — /D 7 — fl4 S ' �
Ml �'N E S��� NOTE: This permit will not be processed without complete infomnation.
FIXTURE UNITS
unit
Quantity Type of Fixture "^�ount Total
sath Tub with or witha CLOSED DLJE TO .00
�ishwasher INACTIVITY 8/30/Ol ,op
Floor Drain 00 ""'
Lavatory (bathroom sink) $ 6.00
Laundry Tray (1 or 2 compartment sink) $ 6.00
� Shower Stati $ 6.00 -'
Sinks: $ 6•00
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 �. O U
SURCHARGE .50
GRAND TOTAL $
This pennit is granted upon thc express condirion that said oC,,� •��
contractor, shall comply in a11 respects with the ordinances
of the State Plumbing Code and che amen ents thereof.
D RECEIPT NO. �I DATE
ATTEST
Call for all ins ons 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