HomeMy WebLinkAboutPlg Permit 01-1231
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CII f OF PRIOR LAKE
PLUMBING PERMIT
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3. Yellow Applicant
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Phone: R2..7-J.j'O:"S3
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Th. C,ol..r o.llh. Lok. COUOlry
Applicant:
Address:
Signature: _
Legal Descri~
Site Address:
Building Permit # _
NOTE: This permit 'I
GLICK, TAMMY
14184 ASPEN AVENUE NORTHEAST
PRIOR LAKE. MN 55372
(952) 445-7379
Quantity
Type of Fixture
Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
x
Sinks
Bar Sink
Water Closet (toilet)
REQUEST FOR INSPECTION
FEE SCHEDULE SENT TO HOMEOWNER 2/03.
NO RESPONSE. CLOSE FILE
Industrial, Commercial & Multi-Fal
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
GRAND TOTAL
ation.
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
...
$
$ -:sq 50
$ .50
$ J.j()p(X)
This permit is granted upon the express condition that said
contractor, shall comply i'n all respects with the ordinances
of the State Plumbing Code and the amendment~ii,ereof.
L/rYI1~ RECEIPT NO. Iv..-Sl-L? DATE
. - ~~ATIEST
Call for all inspections 24 hQrs in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer