HomeMy WebLinkAboutPlg Permit 01-0512
Quantity
CII V OF PRIOR LAKE C
PLUMBING PERMIT
Applicant: 5 --trCt< J Wo)-cr Cb-r.d,' h~B
Address: 1:2 ?!,j1 fVI / n ,::::L~ )I J /CU~ '.-0-(' '. 'I/-f) .0 .
Signature: ~~ tit -/)"' ~ K.ptl
/' v '. . '
Legal Description: Lot l f.. Block f Sub:
Site Address:_1 7 :J-Ll...,9( ~b IJLI; :., Y (fl ,_
Building Permit # PID #/::{ .:;
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
1'1
1. Blue
2, Gold
3. Yellow
# ~t-
q
File
City
Applicant
Type of Fixture
Unit
Amount
3 7:A. OUL/ - 0
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
$ 6.00
$ 6.00
.
$ 6.0
$
$ 6.00
$ 6.00
$ 6.00
$ 6.00
$ 6.00
$25.00
$10.00
$25.00
$ 6.00
$25.00
SURCHARGE
Minimum Fee
GRAND TOTAL $
'~Gj. 6U
.50
'If) (])
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State PI~bing Code and ~~e~d'Pents thereof.
3.9-h Lj. RECEWfNu..r>:.q/ (j / DATE
rr./ AITEST
Call for all inspections 24 ho~ i~ advance.
4629 Dakota St. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
AN EQUAL OPPORTUNITY EMPLOYER