HomeMy WebLinkAboutPlg Permit 01-0078
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: Akf<.8LDP'7 f'LJJfI/hI>>t;
Address: _ Z -=to,~ ~/G'(.....D A;A5
Signature: ~A/,,~tv,_
Legal DescriPti&!l::ot Block Sub
Site Address: I.{ 230 Gnt/nwfjod Qa.j~.. Nt:
Building Permit # 0 l-oCJ7 fi PID # 2.S -034-- OO'3-ci
.
NOTE: This permit will not be processed without complete information,
Th. c.".., ~( lh. Lak. COU",,,
FIXTURE UNITS
Q,vantlty
Type of Fixture
Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
I
Bar Sink
Water Closet (toilet)
FEE SCHEDULE
REQUEST FOR INSPECTION
SENT TO HOMEOWNER 2/03,
NO RESPONSE, CLOSE FILE
Industria', Commercial & Mul.. , _, ...,
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99,50
$39.50
GRAND TOTAL
J. Blue
2. Gold
3. Yellow
F;,!e
Ciry
AppliCllllI
F'PNo, 0 (- 0078
Phone: R2.7-J./0:33
c:~
I
I Rough-ins
I
I
I
I
I
I
I
I
Type of Fixture
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backtlow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
$
$
$ d9.S-o
$ .50
$ !:/{) P CD
This permit is granted upon the express condition that said
contractor, shall comply i'n all respects with the ordinances
of the State Plumbing~Od J t e amendments thereof.
31{)O~ RE 2--7-0/ DATE
--- ATTEST
Call for all insp ctions 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