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HomeMy WebLinkAboutPlumbing Permit #00-0663 / CITY OF PRIOR LAKE PLUMBING PERMIT PP No. I:5O-() ~ h 3 Applicant: 6,.)1 ~~Le ~ Phone: {//).. .c:::JV (pS:>~ Address: ~ </:;).. (Jjwldc f+v( ~ h'/JdJ}fl,)J, /)') h ~Ji' Signature: ~WM{jtG.Jo it!( J Legal Description: Lot t 'Ja G-rf ~Block I Sub ~ l ~~r SiteAddress:~~'7 ~ k''Y'\..01.~r\ NL- "-' Iht-- A-C\Cf'J Building Permit # C50 - 0 b ~ 3" PID # ;:; S - 3,)7\ - O(;:? -(') NOTE: This permit will not be processed without complete information. 1. Blue 2, Gold 3, YelIow File City Applicant The Cenltr of the take Counlry FIXTURE UNITS Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Dishwasher Floor Drain I Rough-ins Water Heater Water Softner Stand Pipe (washing machine) Sewage Ejector Backflow Assembly (RPZ, Double Check, PVB) Backflow Assembly Test Lawn Sprinkler Other Lavatory (bathroom sink) Laundry Tray (1 or 2 compartment sink) Shower Stall Sinks Bar Sink Water Closet (toilet) FEE SCHEDULE CLOSED DUE TO INACTIVITY 1/1/03 Industrial, Commercial & Multi-Fe (1 % of job cost, $39.50 minimum, Residential, New One & Two Family Residential, Additions & Alterations State Surcharge $99.50 $39.50 $ $ $ ,'2; 't, 50 $ .50 GRAND TOTAL $ Vd"f5 This permit is granted upon the express condition that said contractor, shall comply in all respects with the ordinances of the State Plumbing Code an e am ndments thereof. 3 ~S7 RECEI 0 '7 TE -U~- T cOr all inspections 4 hours in advance. 16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245 An Equal Opportunity Employer I Ii II