Loading...
HomeMy WebLinkAboutPlumbing Permit #99-0745 .he Center of the loke Country CITY OF PRIOR LAKE PLUMBING PERMIT PPNo, Applicant: /)~A/,uy Gez.-e L A:C4rlt~/~G.-Phone: c:'IZ '-170 - '3t.f 2. z.. - ~ Address: 2- s:; t......) . I -I S I, /A..Jr4COA/ n"t /'11.(./ " C)!.87 Signature:_~' ~~ - Legal Description: Lot c;t Block Sub _ I Site Address: L..AJGP f-~OA.ff h~K ~ VIL/o"J /579() 7f'rI1<1)H/J,}i Building Permit # c/ c; - Z 2-0 ,PID #-2.:5- C)6Z- - n () /- 0 NOTE: This permit will not be processed without complete information. FIXTURE UNITS 1. Blue 2, Gold 3. Yellow File City Applicant qt?- 7L/C;- Quantity Type of Fixture Quantity Type of Fixture s- f) Bath Tub with or without shower Dishwasher Floor Drain Lavatory (bathroom sink) J/ Rough-ins Water Heater (/ ,.u S TI1IV -r- ) Water Softner Stand Pipe (washing machine) FEE SCHEDULE See I Sewage Ejector I Backflow Assembly (RPZ, Double Check, PVB) I Backflow Assembly Test I " I I qq- ~d-<o r~Y .:Llf/Spe.L+; O~S z 00 - $ $ $ $ Lawn Sprinkler Other fA LI,vA '- Laundry Tray (1 or 2 compartment sink) Shower Stall J Sinks 3 Bar Sink Water Closet (toilet) Industrial, Commercial & Multi-Family (1 % of job cost, $39.50 minimum) Residential, New One & Two Family Residential, Additions & Alterations State Surcharge $99.50 $39.50 .50 GRAND TOTAL $ 200.57) This permit is granted upon the express condition that said contractor, shall comply in all respects with the ordinances of the State Plumbing Cod and the amendments thereof. -:;SC:;/4-- RE ' ., to!/(p/qq DATE ./ . / ' , _ ,AITEST Call for all in 16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245 An Equal Opportunity Employer II T