HomeMy WebLinkAboutPlumbing Permit #00-0493
CITYp~~:N~I~~Af~AKE PPNO'~~{
Applicant: AII'Jt&1. Me G'-1 Phone: GSf--:;l:5686 t!?lJ
Address: '"li7'6 ~ ilve'" LIe. ,tc hJew 8r"~+O#1- 1M l(
Signature: --!fa"'" ~ .../c-Ita ",elf /
Legal Description: Lo~ ~~l ~ ~.30Block 'Ol Sub~. Atl.lL
Site Address: '" fa er-J.. a7 /{,()';;1J ~+. fJCUJ} Av-f!- ~t
Building Permit # era - a i-/q:$ PID # as"- OQ(,f -oaJ-Q
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Th. e.nl., of Ih. Lab Counlry
Quantity
Type of Fixture
Quantity
Type of Fixture
Lavatory (bathroom sink)
Laundry Tray (lor 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
Bath Tub with or without shower
Dishwasher
Floor Drain
FEE SCHEDULE
CLOSED DUE TO
INACTIVITY 1/1/03
Industrial, Commercial &
(1% of job cost, $39.50 m
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$
$.~ 5t)
$ .50
-, -
GRAND TOTAL
$ ~. tJ1)
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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