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HomeMy WebLinkAboutPlumbing Permit #00-0850 The ('eRler or the lake Counlry CITY OF PRIOR LAKE PLU~/NG~E MIT PPNo. 0 Sb Applicant: e~ ~M . ~/ttC{6 , Phone:,,?,I.) - , ~../ ~ 0& Address: ~ ~ If,)- ~~, iiI' ~/h-J J/.;aJ " J/.1' ~ r Signature: c/ rlr-bJ L.xI~ -. Legal Description: _ Lot ~ '-I Block. ~ Sub WIf7'EI!!- Site Address: 33 W 3 (;.f.t/MlAJo:i!- VloiJ Building Permit # oiJ; . ~ SO PID # ;>..~, .3l#5 -M3 - Q NOTE: This permit will not be processed without complete information. "'v.,:t'- Filp.... "<......, . . T,{",~,\,~' FIXTURE UNITS Quantity Type of Fixture Quantity Type of Fixture Sinks Rough-ins Water Heater Water Softner Stand Pipe (washing machine) Sewage Ejector Backflow Assembly (RPZ, Double Check, PVB) Backflow Assembly Test Lawn Sprinkler Other Bath Tub with or without shower Dishwasher Floor Drain Lavatory (bathroom sink) Laundry Tray (1 or 2 compartment sink) Shower Stall Bar Sink Water Closet (toilet) FEE SCHEDULE CLOSED DUE TO INACTIVITY 1/1/03 Industrial, Commercial & Multi-Fal (1 % of job cost, $39.50 minimum) Residential, New One & Two Family Residential, Additions & Alterations State Surcharge $99.50 $39.50 lli $ $ $ .50 GRAND TOTAL $ Vll~ oL This permit is granted upon the express condition that said contractor, shall comp 'n I r cts. with the ordinances of the State Plumbin amendments thereof. 3~/ . t!f. "Z=-f. O(J DATE . I Call for all in pections 24 hours in advance. ATIEST 16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245 An Equal Opportunity Employer I I