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..
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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
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