HomeMy WebLinkAboutPlumbing Permit 94-0179 CITY OF PRIOR LAKE ,,1� ���, �,�,; �
PLUM�ING PERMIT � �1- l7 �
o � PRI�� Applicant �-� C� �� ���,� J'�c f.�i,J�.- Phone: `� � 3 u�6 �(�
�, Address: G - I7�' :� l� , �•'� N SS 3 Y 3
'�'' y� Signature: �
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V � Legal Description: Lot Biock Sub:
Site Address: �`�'�U l�Ar'h'� �Q (�, S�
Building Permit # ��— PID # �S" 07� � 0/S
��N1V E S�� NOTE: This permit will not be processed without compiete 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
Laundry Tray (1 or 2 compartment sink) $ 6.00
Shower Stall $ 6.00
Sinks: $ s•�
Bar Sink $ 6.00
water closet (toilet) $ s.00
Rough-ins '" c ""
water Heater CLOSED DLJE TO
water softner INACTIVITY 8/30/Ol
Stand Pipe (washing machine)
Sewage Ejector $ 6.00
Backflow Assembly (RPZ, Double Check, PVB) $25.00
Backflow Assembly Test $10.00
Lawn Sprinkler ) 25.00 a
Other $ 6.00
Minimum Fee $25.00
SURCHARGE .50
GRAND TOTAL $� • S �
This permit is granted upon the express condition that said
�ntractor, shall comply in all respects with the ordinances
of the State Plumbing Code and the ame d ents thereof.
a� R CEIPT NO. ��� DATE
r ATTEST
Call for all inspecti 2 hours in advance.
4629 Dakota St. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
AN EQUAL OPPORTUNITY EMPLOYER