HomeMy WebLinkAboutPlumbing Permit #00-0143
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: NorbltJl'n Plum bt';:;
Address: d-l:flJ 5 8arfi.lj d ~ . c 'n .
Signature: . ~
Legal Description: Lot 5" Block Z. Sub LAK65/PE ~/f.:;$
Site Address: l b~q 3 n Vt;. H-awks .A:v.e
Building Permit # OJ}. I) /4;3 PID #25 -1e3-017- 0
NOTE: This permit will not be processed without complete information.
l:~': ;'.~
3. Yellow Atfllcant
PP No. 1)(') - 0/43
Phone: tSd;,('" ~ 33
Mfl-L,. MJfI: ,1i5'-1tJ!i'
Th. C.nl., of tho uk< Counlry
FIXTURE UNITS
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
Quantity
Type of Fixture
1
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
FEE SCHEDULE
REQUEST FOR INSPECTioN
SENT TO HOMEOWNER 1/03.
NO RESPONSE. CLOSE FILE
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
$
$
$
$
39 . 5'(::)
.50
GRAND TOTAL
$ ~.oo
This permit is granted upon the express condition that said
contractor, shall compl i I s eets with the ordinances
of the State Plumbing e amendments thereof.
~99" laC) DATE
f A TIEST
Call for all in ections 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