HomeMy WebLinkAboutPlumbing Permit #00-0016
CITY OF PRIOR LAKE ;: ~~w '~!licant
PLUMBING PERMIT # 00 -(X) / ~
Applicant: M t6t11 tuc.f S~ ~ Phone: . q31- qb 7~
Address: ~S" ~~. AJ .s J-bPkA 1.J\1 M &j SS3d ~
Signature: ~ ..:-~"l
Legal Description: Lot ~ Block} Sub L./Ii::-GSI06 I'1I'1No-1f!....
Site Address: S2.~ Lc~L€." Clec-tE.sf'
Building Permit # (JO-oOI0 PID#2,.5-Q55- 008-0
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Tht Ctnltr of tht Lakt Counlry
Quantity
Type of Fixture
Quantity
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)
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family b ,\,0
Residential, Additions & AIlt LOS"B1) 1)0 fi/IIIII!
State Surcharge C Cr"{'\~l'\'~ ... ;- 0];
~N ,1 /.-- if
GRAND TOTAL
This permit is granted upon the express condition that said
contractor. shall comply in all respects with the ordinances
of the State Plumbin d the ~d.mFts thereof.
3~753 . ~~DATE
AITEST
Call for all .
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other eu JJ ~ ~ ..,. t.iC IE
11ccI<:' '-'"'9 AJEW s.:ro\lt I
D124€Je-
$
$
$ '"6CJ. sb
$ .50
$ 40.()::)
rn (c' ---:~-;:~-h-- -.-..,
~ =-. ~. ..-.
i U:t-.". -,~ 2000 .
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16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer