HomeMy WebLinkAboutPlumbing Permit 99-0864
Tht Ctnltr of Ihr LJ.kt COU"lry
CITY OF PRIOR LAKE
PLUMBING PERMIT PPNo. c?9-f3?4-
Applicant: Ke\J~v, ~ \"~""'> ~"'.o"'~Phone: (,,\:1.- ;l.:J.G.. -5()7~
Address: 7,.~\\ Id:l\~, '......".,l "')~ \rl-~.- /~
Signature:~:"'~ a (\.."---">-" _
Legal Description: Lot 4- \ Block / SUbP""<77'lUR--A/ po/\/oS
Site Address: .5?3/1 J1!/(jd2I1ifW()Q..J;;) I ;e /
Building Permit # CJf3 -e./3 Z PID #25 - :/ Q5" - n 0 <J - 0
NOTE: This permit will not be processed without complete information.
I. Blue
2. Gold
3. Yellow
File
City
Applicant
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FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (lor 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1% of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
Slale Surcharge
$99.50
$39.50
$
$
$ 3"\.
$
9::)
.50
GRAND TOTAL
$ L/O.OO
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbi~~rffid am;p.dm0ts thereof.
35&4-'9 . '//7... '<11 DATE
, / I
ATTEST
Call for all ~ections 24 hours in advance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372 f Ph (612) 447-9850 f FAX (612) 447-4245
An Equal Opportunity Employer