HomeMy WebLinkAboutPlumbing Permit #00-0446
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CITY OF PRIOR LAKE
1. Blue
2. Gold
3. Yellow
File
aty
Applicaol
Tho Con.or 0' tho Looko Counlry
P~UAfEJIN~RAf/T PP No. /;) (') - 0,:/ LIk
Applicant: /JJI K-es ) Phone:--3fV- r~1J3
Address: t::t..ff~ S )(" _ ~ Cv. '
Signature: /71.~ ~_ '
Legal Description: Lot. 5 . BIOCk....::z, _Sub '-\-hf)"\ f!cN.b o'~__.
SiteAddress:~~~a [,~~e., ~e Uft. 5, e. ~
Building Permit # U ()- 0 Lf '-If.., PID #~;,- (j()C(- 013-0
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Quantity
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
Quantity
Type of Fixture
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Bar Sink
Water Closet (toilet)
REQUEST FOR INSPECTION
SENT TO HOMEOWNER 1/03.
NO RESPONSE. CLOSE FILE
RANdlnw Assembly (RPl, Double Check, PVB)
, Assembly Test
lrinkler
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1% of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$
$3~. ,n='
$ .50
GRAND TOTAL
$/ (l --
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing Code and the amen e s thereof.
RECEIPT
JUN - 5 200l
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
III