HomeMy WebLinkAboutPlumbing Permit #00-0754
CITY OF PRIOR LAKE
PLUMBING PyERMIT
Applicant: & () b. .faktJ ~!!:;.
Address: (1"~ C/ ')- tl V.J!i{. itLt1- rf
Signature: 1/ ~K.;:'JR;{-ItZ
Legal Description: Lot Block
Site Address:---, <.<-? I ~~~ fail
Building Permit # PID # 2..:-"'- '< h ') --0'2.. ") ""'-0
NOTE: This permit will not be processed without complete information.
I. Blue
2. Gold
3. Yellow
File
City
Applicant
v/
The Center of the LIke Counlry
PP No. () t) .. '75:4-
PhOne:e/~, s:? (/6~5?
/lLil' /~ .' /lIh .' S37/d-.tf
Sub
FIXTURE UNITS
Ouantity
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
l
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-F
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
'l> 39. ~o
.
$99.50
$39.50
$
$
$
.50
GRAND TOTAL
$
rtI
'-1&<;'
This permit is granted upon the express condition that said
<on"","", "'~I oompl, in ~I """""'~tt e ordinances
of the State Plumbing Code and the WI dm ts thereof.
"3 ~24t- ( IW~EJl! NO. C:>/~ eo DATE
/4!}JAr A TIEST
Call for all inspections 24 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