HomeMy WebLinkAboutPlg Permit 01-0764
CITY 0 : P ~ 0 ~ LAKE
PLUMBING PERMIT
Applicant: NtJf<.8LD#'1 hJJ1III!7I)k;
Address: -Z.- <10.5.. 6 J't/t...F"( 6("" f') At/r5
Signature: .. ~;".
Legal Des~riptlon~ Lot _ I ....tt9<.. Lf
Site Address: LARSON, LAURA/GARY
B 'Id' P 't # 343Ei'CFlYSTAL CIRCLE N.w.
UI In9 . erml PRIORLAKE, MN 55372
NOTE: This permit will no \(952)f44O'<8.710
FIXTURE UNITS
: n.t, 'itn.'.i, .0J Iht Lak. Counlry
:.Q,i,l~~lty..
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
. Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
I
FEE SCHEDULE
REQUEST FOR INSPECTION
SENT TO HOMEOWNER 2/03.
NO RESPONSE. CLOSE FILE
Industrial, Commercial & Mull. . -.....J
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39,50
GRAND TOTAL
1. Blull F!le
2, Gol4 ell)'
3. Y tRow AppUCIIlI
pp No.t2!-- /~
Phone: R 2-7-7'0.3::;
c::~
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
("\'~er
$
$
$
$
.50
$ !:/fJ ~ CO
This permit is granted upon the express condition that said
contractor. shall comply fn all respects with the ordinances
of the State Plumbing Code and the amendments thereof.
!:J- .;}3 -oL ~CEIpYNO. -lIn 159 DATE
Y€/ ATIEST
(j
Call for all inspections 24 hours in advance.
1-'" f2 /,~~>
\ D J:lS_~Z ~_d ---. -
IS 4202001 :\;,
! " \ l) !
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16200 Eagle Creek Av. S.E.. Prior Lake, Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer