HomeMy WebLinkAboutPlumbing Permit 94-0268 CITY OF PRIOR LAKE ;�;�, �,�,;qo�
PLUMB/NG PERMIT # 9� � �
O ,� PRI�� Applicant: /�crr�t`���1c.�c ` >>/�,n��v'� � 4; . Phone: .'; !- 5` O
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�, Address: •�(E�- , c" '1� ��.. �`i� n} c�N� l�' l� SS�/.�-
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F y Signature: +� �.�.-1�--, �'�.�...
V � Legal Description: Lot Block Sub:
Site Address: ��1;�'0 � r��t rA �i S�
Building Permit # PID # — U �'" 00 I—b
��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 0
� Lavatory (bathroom sink) $ 6.00 ��. Od
Laundry Tray (1 or 2 compartment sink) $ 6.00
/ Shower Stall $ 6.00 �. tl0
Sinks: $ 6.00
Bar Sink $ 6.00
/ Water Closet (toilet) $ 6.00 .� o
Rough-ins $ 6.00
/ water He� �LOSED DUE TO $ s.00 . o d
water so� IN ACTIVITY 8 $ s.�
Stand Pipe $ 6.00
Sewage Ejb...�� $ 6.00
Backflow Assembly (RPZ, Double Check, PVB) $25.00
Backfiow Assembly Test $10.00
Lawn Sprinkler $25.00
Other $ 6.00
Minimum Fee $25•00
SURCHARGE .50
GRAND TOTAL $ .3 � -.�D
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 9� RECEIPT NO. /�/�/fS� DATE
ATTEST
Call for all ins ti s 24 hours in advance.
4629 Dakota St. S.E., Prior Lake, Minnesota 553'72 / Ph. (612) 447-4230 / FAX (612) 447-4245
AN EQUAL OPPORTUNITY EMPLAYER