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HomeMy WebLinkAboutPlg Permit 01-0501 The eenler of Ihe Lake Counlry CITY OF PRIOR LAKE PLUMBING PERMIT # Applicant: Ro1o- Q'Doi~y- SGV-V. CD. Phone: Address: I ~ 3D It ~~ If,,!<- AJ n t Ol~: 6\( s,; M Signature: ;;{ (t;Y . ~. Lrlt..""-6..k"'- .:2r.,.~sk-( Legal Description: Lot I Block (.--. Sub ~ -...J~ Site Address: /4 2-4B S~L/ J":3I1UL.c...i... J IN!L~ I Building Permit # J PID #d.S- k/9- CkY/- 0 NOTE: This permit will not be processed without complete information. FIXTURE UNITS Quantity Type of Fixture 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) ( Rough-ins Water Heater Water Softner Stand Pipe (washing machine) Sewage Ejector f?~p k,...:.c~. Backflow Assembly (RPZ, Double Check, PVB) Backflow Assembly Test I -...- Sprinkler REQUEST FOR INSPECTION SENT TO HOMEOWNER 2/03, NO RESPONSE, CLOSE FILE FEE SCHEDULE Industrial, Commercial & Multi-Family (1 % of job cost, $39.50 minimum) Residential, New One & Two Family Residential, Additions & Alterations State Surcharge GRAND TOTAL $ $ $ B 1...)"0 $ .50 $ .<! t) ,oj) $99.50 $39.50 This permit is granted upon the express condition that said contractor, shall comply in all respects with the ordinances otAte Atate P!.Y{nbing Code and the amendments thereof. <..::5 C{tr'?J.$> RE7TN~ .s-d.s-ol DATE \J--. ArrEST Call for all inspections 24 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