HomeMy WebLinkAboutPlumbing Permit 94-0201 CITY OF PRIOR LAKE .'.$� F ''`
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3. Yeliow Applice
PLUMB/N� PERMIT 9�- 2 0%
O � PRj Applicant: �� � Phone: �y�
Address:S S� �� S . �:of La
� y Signature:
V � Legal Description: Lot ��- Block � Sub: grbd�swlk }�i I IS G���
Site Address:
Building Permit # PID # �$�7"Otif /� 0
M �NN E S�� NOTE: This permit will not be processed 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
Laundry Tray (1 or 2 compartment sink) $ 6.00
Shower Stall $ 6.00
$ 6.00
CLOSED DUE TO $ 6, �
INACTIVITY 8/30/O1 $ s �
$ s.00
Water Heater $ 6.00
Water Softner $ 6.00
Stand Pipe (washing machine) $ 6.00
Sewage Ejector $ 6.00
Backflow Assembly (RPZ, Double Check, PVB) $25.00
Backflow Assembiy Test $10.00
Lawn Sprinkler $25.00 Z,S; op
Other $ 6.00
Minimum Fee $25.00
SURCHARGE .50
GRAND TOTAL $ ZJ'�• �
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.
O RECEIPT NO. �l�s� y DATE
ATTEST
Il for all inspec 24 hours in advance.
4629 Dakota St. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
AN EQUAL OPPORTUNTTY EMPIAYER