HomeMy WebLinkAbout91-069CITY OF PRIOR LAKE,
�-a y PLUMBING PERMIT No.
rn I l�� ,l
Applicant: x 141 QtI M Phone: `�
Address: '.'. 0 - RO AD
Signature: _
Legal desnncAr lion of premises tto b plumbed: of Block I
Sub: Y/I �s v LAKE AD
Building Permit#
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Quantity
Type of Fixture
U nit
Amount
Tom
Bath Tub with or without: Shower
': $4.00
Dishwasher '
$4.00
Floor Drain'
$4.00
Lavatory (bathroom sink)'
$4.00
Laundry Tray (t or 2 compartment sink)
$4.00
Shower Stall
$4,00
SINKS:
Combination Sink and Tray
with or without disposal
$4.00
Bar Sink
S4.00
Water Closet (toilet)
$4.00
Rough -ins
$4.00
WaterHeater
$4.00
Water Softner.
$4.00
Stand Pipe (washing mach)
$4.00
Sewage Ejector
$4.00
Other
$4.00
Lawn Sprinkler
$20.00
0 o-
TOTAL
SURCHARGE' .50
GRAND TOTA 1;50 . Sp
This permit is grantee! upon the express conditions that said contractor, shall comply in all
respects with the ordinances of the / state Plumbing Code and the amendments there of
a 7 — 9 r Date
C Vdt U Attest
C for oll inspection 24 hours in advance.
(612) 447 -4230 0 4629 Dakota Street S.E
. • Prior take, Minnesota 55372