HomeMy WebLinkAboutPlumbing Permit 94-0113 CITY OF PRIOR LAKE 3�;�, �,;�
PLUMB/NG PERMIT # 9y- />.3
� p RjO� aPPlicant: ��� � ��Z �` Y�r ] Phone: �-a � — � �' g �
� Address: �9Q. aL/
'�'' � Signature:
N
V � Legal Description: Lot __'�___ Block ��Sub: �V � �'� �.
Site Address: I '� �. ��-1
Buiiding Permit # �, - �-�,�n PID # .�.� /�v�'- �0 �- U
� E SO�� NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Unit
�uantity Type of Fixture Amount Total
�
Bath Tub with or witha.it shower $ 6.00 "-
Dishwasher CLOSED DUE TO $ s � �
F�oor orain �ACTIVITY 8/30/O1 $ 6 �
Lavatory (bathroc $ 6.00 —
Laundry Tray (1 �_ _ , $ 6.00
� Shower Stall $ 6.00
Sinks: $ 6.00
Bar Sink $ 6.00
t Water Cioset (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, Doubie Chedc, PVB) $25.00
Backflow Assembly Test $10.00
Lawn Sprinkler $25.00
Other $ 6.00
Minimum Fee $25.00
SURCHARGE .50
GRAND TOTAL $ ` �
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.
D RECEIPT NO. ,�Q,L y DATE
ATTEST
Call for all ins t 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