HomeMy WebLinkAboutPlg Permit 01-0751
Quantity
CITY OF PRIOR LAKE
PLUMBING PERMIT # O/-7S-/
Appllcaot ~(~ ~f.k('~" qsa. 4X-./8rrO
Address: I'd"' ~~ J..-~, , v~ JR1) .
Signature: ~/.I!1f-' - -~.",..h~. ~I
Legal DeSCriptiO;;: Lot t1 Block--jf Sub: iJ)/J~_9-~
SlteAddress:-.l7d-Lt9 r~r? 1rfrgJof !)r --- U. - ---- _
Building Permit ## . PID ## dJ..5' -17~-Ql1Y-c)
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
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)
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
Minimum Fee
,p{p~
o 1. Blue
2. Gold
3. Yell_
File
City
Ar;': ..1
Unit
Amount
~ ~:
U6.oo
i7$ 6.00
$ 6.00
$ 6.00
$ 6.00
$ 6.00
$ 6.00
$25.00
$10.00
$25.00
$ 6.00
$25.00
c9S~
SURCHARGE .50
GRAND TOTAL $ dO~
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing Code and the amendments thereof.
'101 L/ r RECEIPr NO. !i!:....-<> / DATE
ATIEST
Call for all inspections 24 hours in advance.
4629 Dakota St. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
AN EQUAL OPPORTUNITY EMPLOYER
JUl I 3 2001