HomeMy WebLinkAboutPlumbing Permit 94-0235 �_..--. _ w�
CITY OF PRIOR LAKE 3�; � �,�,;�o,
PLUMB/NG PERMIT # � 4 - 2 ��'
O � PRI Applicant �-i-� CT� ��� s !, Phone '�-�-'1-- k�SG
Address: �(o p g 3 �o,�-�, �►.faod 2d N lN
'�'' y Signature:
F
V � Legal Description: Lot q.S Block Sub:
Site Add�ess: (�0 83 ��w o� � N, k� .
Building Permit # PID #��– /�/r � 4(�y U
� ESO� NOTE: This perrnit will not be processed without compiete information.
FIXTURE UNITS
Unit
Quantity Type of Fixture Amount Totat
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: $ 6.00
Bar Sink $ 6.00
� Water � $ 6.00
Rou9n CLOSED DUE TO $ 6
water � INACTIVITY 8/30/O 1 $ 6. �
Water $ 6.00
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 �� dv
Other $ 6.00
Minimum Fee $25.00
SURCHARGE .50
GRAND TOTAL $ 2 � ��
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plambing Code and the amendments thereof.
Z�?74 EIPT NO. Ia�3" �'¢ DA'TE
� , ATTEST
Call for all inspections 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