HomeMy WebLinkAboutPlg Permit 01-0143
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: ~f<.8LDJ'f/1 hJ/l'J,JlJ!JIk; Phone:
Address: Z~CJr.s.IG"("'D ~ <'"-.p
Signature: ,
Legal Descriptio . Lot
Site Address:
Building Permit #()/:NJ3
NOTE: This permit will
REQUEST FOR INSPECTION
SENT TO HOMEOWNER 2/03.
NO RESPONSE. CLOSE FILE
Tb. C.n.., or lb. Lak. Country
a.van~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
Bar Sink
Water Closet (toilet)
FEE SCHEDULE
Industrial, Commercial & Mufti-Family .
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
~ I
311S/01
'"'.......
RABIN, STUART
17339 SUNSET TRAIL SOUTHWEST
PRIOR LAKE, MN 55372
(952) 440-5403
In.
I ...... _. __ _
Quantity
Type of Fixture
x
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backtlow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
her
$99.50
$39.50
$
$
$
$
.50
GRAND TOTAL
$ !/[J p CD
This pennit is granted upon the express condition that said
contractor, shall comply i'n all respects with the ordinances
of the State Plumbing the amendments thereof.
-3!l31?-- -S' 'Z-"1. 0 I DATE
AlTEST
,/
Call for all in
16200 Eagle Creek Av. S.E.. Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opponunity Employer