HomeMy WebLinkAboutPlumbing Permit #00-0632
JUL 2 I 2000
CITY OF PRIOR LAKE
,PLt)MB~ PERMIT PPNo.-OO-Ot.30l
Appl~t: fx/rfp)/J.. )l'f"11 . A/ Phon. e:
Address:~),__'/? JJ1.1.liJt:<<- ..I/!d11f. . . /'/tW I/tfu. jJl'15JYJR
Signature:~. \~A;({
Legal Description: Lot Block O? Sub C'",:, f (~ a r<l( ~
Site Address: ~2,QTh C,-.. ( 1 J Y\ LLX'~ T fLLl ,
Building Permit # C70'" ~ h3~ PID # as" 3' s--OOr...()
NOTE: This permit will not be processed without complete information.
1. Blue
2. Gold
3. Yellow
File /
City
Applicant
Th. C.nl.. of Ih. Lob Counlry
FIXTURE UNITS
Ouantity
Type of Fixture
Ouantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
\
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
FEESCHEOULE
CLOSED DUE TO
INACTIVITY 1/1/03
..;J~.CQmme~at&~hy---- --
(1% ofjoi)cost,.:SOminlmtlm)
fl.identia',New One &TwoF....Y
. ResIdential, Additions & Alterations
StateSurchar,ge
_;50
$39.50
--_.__.~---$-~
$.
$ 3'. 50
$ .50
GRAND TOTAL
~V\ 60.
$ "-flJ.
16200 Eagle Creek Av. S.
'or Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
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