HomeMy WebLinkAboutPlumbing Permit 94-0159 CITY F PRIOR LAKE 3�°�� �,;po,
PLUMB/N ERM/T # 9�-/ 9
O � PRI�� ApPlicant �+4 tY�-.�.,� I�c��•� S Phone:_ �Z3 •�7 3�
�, Address: �Z 3 � c� �S
'�'' y Signature: �-�----�
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V � Legal Description: Lot Blodc Sub:
Site Address: '�l 3 � S �.v�-.,....� �-�--�--
Building Permit # �.l — o a� 9 P!D #�� d��{ - � d
� E S�� NOTE: This permit will not be pra:essed without complete information.
FIXTURE UNITS
Unit
Quantity Type of Fixture Amount Total
Bath Tub with or without shower $ 6.00
Dishwasher $ 6.00
Floor Drain $ 6.00
� Lavatory (bathroom sink) $ 6.00 (o • v �
Laundry Tray (1 or 2 compartment sink) $ 6.00
� Shower Stail $ 6.00 ( a. 6 U
Sinks: $ 6.00
Bar Sink $ 6.00
Water Closet (toilet) $ 6.00 �� O O
Rough-ins $ 6.00
Water Heater $ 6.00
Water Softner $ 6.00
Stand Pipe (washi CLOSED D� T 0/O1 $ g
sewage E�ector I N A C T I V I T Y 8� 6 s.00
Backflow Assembly $25.00
Backflow Assembly Test $10.00
Lawn Sprinkler $25.00
Other $ 6.00
Minimum Fee $25.00 � S , p �j
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 ame dm nts thereof.
J1� RECE NO. �DATE
` ATTEST
Call for all inspe o s 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