HomeMy WebLinkAboutPlumbing Permit 94-0242 CITY O F P R I�D R LAKE 3�; � Applicant
PLUMB/NG PERM/T # �� z s�z
O � PRj�� APPlicant: � f`[)�P/��.�hC - Phone _S$� -�"?� 7�
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Address:
� y Signature: '�
V � Legal Description: Lot ou ock Sub: d �� cs e o
Site Address:
Building Permit # -- PID # ��S' � � � -� � �1-O
��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 , � D
Lavatory (bathroom sink) $ 6.00 , Q v
Laundry Tray (1 or 2 compartment sink) $ 6.00
� Shower Stall $ 6•� (� . D D
Sinks: $ 6.00 �
Bar Sink $ 6.00
water Closet CLOSED DUE TO $ s.00 �•40
Rough-ins INACTNITY 8/30/O1 $ s.00
Water Heater $ 6.00
Water Softner $ 6.00
Stand Pipe (washing machine) $ 6.00 .a �
Sewage Ejector $ 6.00
Backflow Assembly (RPZ, Double Check, PVB) $25.00
Backflow Assembly Test $10.00
Lawn Sprinkler $25.00
Other $ 6.00
Minimum Fee $25.00
SURCHARGE .50
GRAND TOTAL $ �'G . Sa
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.
I R CEIPT NO. /d/��l1 DATE
� � _ 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