HomeMy WebLinkAbout91-002) PAI0 CITY OF PRIOR LAKE
PLUMBING PERMIT No. —L=��
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s Applicant: Pbone: 4 LID e' l 5y -
y
Address:' 4IM R Sf
Signature ( - 704 4 A_4-E
Legal description of premises to be plumbed: Lot i4- Block
Sub: LAie ss t a E <9 c1 e.t.S ZS 0 'O / Z O
Address: I I9 S l�(faSKrr S'f-
;BuildingPermit# N1A-
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Quantity
, Type of Fixture
ni k'
Amount
Total
4.
,Bath Tub with or without Shower
S4
4 e av
Dishwasher
$4
Floor Drain --
$4.00
Lavatory (bathroom sink)
$4.00
Laundry Tray (l or 2 compartment sink)
$4,00
Shower Stall
$4.00
SINKS:
Combination Sink and Tray
with or without disposal -
$4
Bar Sink
$4.00
Water Closet (toilet)
$4,00
Rough -ins
$4.00
Water Heater
$4
Water Softner
$4.00
Stand Pipe (washing mach)
$4.00
Sewage Ejector
$4.00
Other
$4.00
Lawn Sprinkler
$20.00
TOTAL
SURCHARGE .50
GRAND TOTA 4 • _ 5 C'
This permit is granted upon the express conditions that said cc;itractor, shall ccmply in all '
respects with the ordinances :of the state Plumbing Code and the amendments there of.
Date
Attest
Call for all inspection 24 hours in advance:
(612) 447 -4230 • 4629 Dakota Street S.E. • Prior Jake, Minnesota 55377.