HomeMy WebLinkAboutPlumbing Permit 94-0088 CITY OF PRIOR LAKE 3�;�, �,;�
PLUMB/NG PERMIT # �� .� � gI�
O ,� YRI�� APPlicant Phone:C �J �.� ��15 (
Address: - � � � ` .,
'�" � Signature• S ca,
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V C�rJ �9$I Description: Lot � Blodc ___ j__Sub:
Site Address: C5► Ov`
Building Permit # — PID #�3 ��� — Qaz- —
� NOTE: This permit will not be processed without complete i�ormat�on.
FIXTURE UNITS
Unit
�uantity Ty�e of Fixture Amount Total
Bath Tub with o� without shower $ 6.00
Di�washer $ 6.00
Floor ^--'° $ 6,00
�� CLOSED DUE Tp $ s•� 00
�.aur INACTIVITY 8/30/01 � s ' 0 �
Sho� $ 6.00
Sinks: $ 6.00
Bar Sink $ 6.00
Water Cioset (toilet) $ 6.00 (� ��
Rough-ins $ 6.00
Water Heater $ 6.00
Water Softner $ 6.00 ( ,�j�Q
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 �t Q p
�
SURCHARGE .50
GRAND TOTAL $ �CJ�
This permit is granted upon the express oondition that said °L� `�
contractor, shall comply in all respects with the ordinances
of the State Plumbing Code and the amendm ts thereof.
`� �L RE IPT NO. .�1L�� DATE
� ATTEST
Call for all ins ons 24 hours in advance.
4629 Dakota SG S.E., Prior I.ake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (6!2) 447-4245
AN EQUAL OPPORTUNTTY EMPLOYER