HomeMy WebLinkAboutPlumbing Permit 94-0168 CITY OF PRIOR LAKE 3�;�, �,;�
PLUMB/NG PERM/T # 9� �G Y
O .� PRI�� Appiicant: ��1.'c SG`�0�-Jc. Phone: �1-�
Address: � S 5 � c�w� �vt .,W �.
," � Signature:
H �
v � Legal Descriptio Lot 7 Blodc / Sub: � /
Site Address:
Buflding Permit # PID # a� ��i'�•3 — �a 7-0
M �NNESO�� NOTE: This permit will not be processed without complete informa�on.
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 . Q �
Laundry Tray (1 or 2 compartmp^� -'-" � $ 6.00 .� U
Show ' $ 6.00 . Q 0
�[.JF, TO
sinks CL4SE� D Y 81301� $ s.00
ear si INACT � s.00
Water $ 6.00 . D V
Rough-ins $ 6.00
Water Heater $ 6.00
Wate� Softner $ 6.00
Stau�d Pipe (washing machine) $ 6.00
Sewage Ejector $ 6.00
Backflow Assembly (RPZ, Double Check, PVB) $25.00
Backflow Assembly Test $10.00
Lawn Sprinkle� $25.00
Other $ 6.00
Minimum Fee $25.00
SURCHARGE .50
GRAND TOTAL $ aZSS�
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 amendme ts thereof.
RECEIPT NO. _��`�� DATE
� ' � ATTEST
11 for all inspec 24 hours in advancx.
4629 Dakota St. S.E., Prior Lake, Minnesota 53372 / Ph. (612) 447-4230 / FAX (612) 447-4245
AN EQUAL OPPORTUNTfY EMPLOYER