HomeMy WebLinkAboutPlg Permit 01-0700
Tbt Ctn"f 0,1 lb, Lak, Counlry
CITY OF P =lIOR LAKE
PLUMBING PERMIT
t / 'J
Applicant: NtJI'<.8LD,v/ rLJj1IlhI~
Address: . s:YJ ~~/6t-D ~ ~
Signature: ~
Legal Description: Lot r- Block ?-
Site Address: /L/t,/2 /YJA4J/e / rlUi S. E;.
;
Building Permit #
NOTE: This permit will not be processed without complete information.
1. Blue ".FHe
2. GoI~'Co' Ory
3. Yv!Jjw Applicant
~.' '\
PPNO.1fl- 70C
Phone: R~?-~O:"''33
ii:.;$
GLEASON,MARYU
14612 MAPLE TRAIL SOUTHEAST
PRIOR LAKE, MN 55372
(952) 447-5757
/1. .t
~
~
PID ~J J3r-OIJ..-O
f'-.~'
Sub~'
FIXTURE UNITS
O,uan~lty
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
Quantity
Type of Fixture
I
Rough-ins
Water Heater
Water Softner
Bar Sink
Water Closet (toilet)
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
REQUEST FOR INSPECTION
SENT TO HOMEOWNER 2/03.
Industrial, Commercial & Multi-Fami NO RESPONSE. CLOSE FILE
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
FEE SCHEDULE
Residential, Additions & Alterations
State Surcharge
$39.50
$
$ 3CJ .~
$ .50
$99.50
GRAND TOTAL
$ !/{)~CD
".l L-.. .
..111 2001
This permit is granted upon the express condition that said
contractor, shall comply fn aU respects with the ordinances
of the Stase Plumbing Code and the amendments ]ireof.
'-I () / {)..3 RECEIPT NO. J - / / - () _ DATE
erG 'ATIEST
Call for all inspectio024 hours in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer