HomeMy WebLinkAboutPlumbing Permit 94-0273 CITY OF PRIOR LAKE 3�;� �,;«n,
PLUMB/NG PERM/T # 9y z�3
O � PRI�� Applicant: Phone: �f��-�2 �
Address: S
'�'' � Signature:
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V � Legal Description: Lot ,3 Block Sub: �
Site Address: Sci�tt�
Building Permit # PID #� � I L�� 0��O - v
���'NESD� 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
Sinks: $ 6.00
Bar Sink $ 6.00
Water Closet (toilet) $ 6.00
Rough-ins $ 6.00
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 Assembly Test $10.00
Lawn Sprinkler $25.00
Other $ 6.00
Minimum Fee $25.00
� � ' ���� � SURCHARGE .50
� � GRAND TOTAL $ ��-�
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.
� a RECEIPT NO. /� DATE
i ' ,� ATTFST
Call for all inspe o s 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