HomeMy WebLinkAboutPlumbing Permit 94-0132 1 Blue �k
CITY OF PRIOR LAKE 3�;� �,;�
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PLUMB/NG PERM/T # �'�! � 13 �
� pRIO APplicant: ��s�o� LA�P PG��r,�a�N� Phone: ��/ 7/���,
O � �, Address: Lv r�� .S�
'�'' � Signature:
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V � Legal Descri ion: Lot Blodc Sub:
Site Address: ,� C�C�� S')''� / G!1 //�',
Building Permit # PID # 25 � �DZ - t7�1-�?
M �N�r � S�� � NOTE: This permit will not be processed without c�mplete iMomnation.
FIXTURE UNITS
Unit
Quantity Type of Fixture Amount Total
Bath Tub with or without shower $ 6.00
Dishwasher $ 6.00
Floor Drain $ 6.00
Lavatary (bathroom sink) $ 6.00
Laundry Tray (1 or 2 compartment sink) $ 6.00
Shower Stall $ 6.00
Sinks: $ 6.00
sar sink CLOSED DUE TO
water c�oset (toi�et) INACTIVITY 8/30/O 1
Rough-ins / .00
Water Heater .� _.__
Water Softner $ 6.00
Stand Pipe (washing machine) $ 6.00
Sewage Ejector $ 6.00
Backflow Assembly (RPZ, Double Check, PVB) $25.�
Backflow Assembiy Test $10.00
Lawn Sprinkler $25.00
j other f p $ s.00 (� . vo
Minimum Fee $25.00
SURCHARGE .50
GRAND TOTAL $ d�sr�
This permit is granted upon the express condition that said
contractor, s6a11 comply in all respects with the ordiaances
of the State Plumbing Code and the amen ents thereof.
�-3�S RECEIPT NO. �d 2� 9 DATE
-fC.�S ATTEST
Call for all ins ctions 4 hours in advance.
4629 Dakota St. S.E., Prior I.ake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
AN EQUAL OPPORTUNITY EMPLOYER