HomeMy WebLinkAboutPlumbing Permit 94-0206 CITY O F P R I O R LAKE 3�; � Appliant
PLUMB/NG PERM/T # 9� - Z ob
� pRlO ApPiicant: �,�iDle �/d-/�'L° f �Gf�A��t/'j��Phone: �'� 7` /3 ��
� '� �, Address �3 � r�l s' . �a
'�'' � Signature:
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v � Legal Descrip on: Lot Block Sub:
Site Address: / � � �� /�1�e i►/ �U p � � �•
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Building Permit # "'�— PID # "'��'�r00�- d 2Z-11
���'NES�� NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Unit
Cluantity 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 (' $ 6.00
� T�
snower sta�� CLOSED D Y g�30/01 $ 6 ' 0 °
sinks: INACTIV $ s. �
Bar Sink $ 6.00
Water Closet (toilet) $ 6.00
Rough $ 6•�
Water Heater $ 6.00
Water Softner $ s•�
Stand Pipe (washing machine) $ 6.00
Sewage Ejector $ 6.00
Backflow Assembly (RPZ, Double Check, PVB) $25.00
Backflow Assembly Test $10.00
Lawn Sprinkler $25.00
Other !.0 I-e� �O $ 6.00
Minimum Fee $25.00
SURCHARGE .50
GRAND TOTAL $ o�-� s ��
This permit is granted upon the express condition that said
contractor, shall comply in all rospects with the ordinances
of the State Plumbing Code and the amend ents thereof.
�. �O � RECEIPT NO. 3/ � DATE
ATTEST
Call for all ins c ons 24 hours in advance.
4629 Dakota St. S.E., Pnor Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
AN EQUAL OPPORTUNITY EMPLOYER