HomeMy WebLinkAboutPlg Permit 01-0748
Quantity
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CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: ~ ~ (bJ'fYI~. Phje:
Address: .~ · m~1: l~/f'. .
Slgnatur _ . ~
Legal DeSCriPtiOn: t J Block u;::)- Sub:;<5 - =37 3 -17/L/-Q
Site Address: 0 IJ ~ ' rn 117('1 ~ ) Cuwe. se .
Building Pennit #I .PID #I
NOTE: This pennit will not be processed without complete information.
FIXTURE UNITS
Type of Fixture
Unit
Amount
Total
Bath Tub with or without shower
Dishwasher
Floor Drain
I
I
I
I Sinks:
I Bar Sink
I Water Closet (toilet)
I Rough-ins
~-l:lL~r n~\ttr
~ '--- I Water Softner
--
I
I
I
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
---.....
~
f\
~}4
I
I
I
I
6.00 I
$ 6.00 I
$ 6.00 I
$ 6.00 I
$ 6.00 I
$ 6.00 I
$25.00 I
$10.00 I
$25.00 I
$ 6.00 I
$25.00 Ot5~
SURCHARGE .50
GRAND TOTAL $ c:l550
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
Minimum Fee
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 amendme~ts ~;reof.
LltJltI'~ RECEIPT NO. 7-/'1'...q DATE
~ - AITEST
Call for all inspections ~ours in advance.
4629 Dakota St. S.B., Prior Lake, Minnesota 55372 I Ph. (612) 447-4230 I FAX (612) 447-4245
AN EQUAL OPPORTUNITY EMPLOYER
.... , 32001