HomeMy WebLinkAboutPlumbing Permit #00-0935
Th. ('.nler nf lh. Lake Counlry
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CITY OF PRIOR LAKE
Applicarrt: /tJ'J'J:::;:~:'T
Address: :;)- L/J- (~wJ!it ftvf /1,
Signature: /5r~--6-e--1A-J((vtJ,t
Legal Description: Lot ~ Block J
Site Address: i c:: C:7 ~ }jAP.n-J'dkPi.!! C J^\ ,
Building Permit # PID # g.j" 3f-? (Jd.() t>
NOTE: This permit will not be processed without complete information.
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FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Rough-ins
Water Heater
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Water Softner
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
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
$99.50
$39.50
$2,50
$
$
$ .50
$ t/O.J
GRAND TOTAL
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
o~ ~e State Plumbing Code and the amendments th~of.
3 <6b Vl -- /]RECEIPTNO. (()-L9-oUoATE
A (II/~ ATI'EST
Cainbr 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
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