HomeMy WebLinkAbout0096o� Prod` a CITY OF
PLIOIZ LAKE
v 9 rn UMBI1vG PERMIT
l No. 9d
Address: Phone; 710 _ZSv c
oN
Signature
Legal descriptio f re ises to be
Sub: )d plumbed: Lot
Block
Address; e nl d �
Building pc h#
NOTE: Thts permit will not be
processed without complete information.
Quantity FIXTURE UNITS i_'
Type of Fixture
Bath Tub with or without Shower nit
Amount Total'
Dishwasher $4.00
Fl Drain
$4.00
Lavatory (bathroom sink)
c $4.00
Laundiy Tray (1 or 2 compartment sink) $4.00
Sho
,ve Stall
$4.00
SINKS:
$4.00
Combination Sink and Tray
with or without disposal
Bar Sink $4.00
Water Closet (toilet) U.00
Rough -ins
$4:00
Water Heater $4.00
Water Softner<
$4.00
Stand Pipe (washing mach)
�$4t00 ,.
'Sewage Ejector
$4;00
• Y Other
$4.00
Lawn Sprinkler
$4.00
$20.00
TOTAL
SURCHARGE
•50
This
GRAND TOTA Z
permit is granted upon he express conditions that said contractor, shall ;com 1
respects with the ordinances of the state Plumbing B Code and the P Y in all
_� �/ �Q ° arrandments there of.
w
R Date
C I for all inspection est
(titz ours in adva
)447 -4230 x.4629 Dako'a Strcet S.E. 0 Prior Lake, MnnesoU 55372