HomeMy WebLinkAboutPlumbing Permit #00-0881
CITY OF PRIOR LAKE
" P!:-UM~/NJG P~MI!. PPNo. e
Applicant: by-() - ~ Pi, ,A Lf(; CJ1 'phone: It I. V tf/S-;J r;
Address: _ !7-'2V 1--- . fJ.. r"J(tt ~ I '--f 11(, /lL(l)) .lNt L- ,<;SyJl'
Signature: ~(IJ"C./(Lf-il
Legal Description: bO~ ~ .~ ,Block -:? LVJ.JWJfI7cL 2.t:J.fJ
Site Address: 3_s C 7 C~~ iLfL.. Mall
Building Permit # r;, o. ~! PID # 2.5~- tJJ9-0
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
The Center of the Lake Country
Ouantity
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
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
Dishwasher
CLOSED DUE TO
INACTIVITY 1/1/03
Industrial, Commercial & Multi-Fan
(1 % of job cost, $39.50 minimum)
FEE SCHEDULE
?f,s;V
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$
$
.50
GRAND TOTAL
$ +-tJ .. fIl)
This permit is granted upon the express condition that said
contractor, shall comply in all respects. with the ordinances
of the State Plumbing C amendments thereof.
~i-R
DATE
ATIEST
Call for all in ections 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
II