HomeMy WebLinkAboutPlg Permit 01-0007
Tbt Ctnlt, 0,1 lb. Lak. Counlry
CITY OF PRIOR LAKE
PLUMBING PERMIT
APPlicant:/J/)~#J rLtJf1'/I7I>>t; Phone:
Address: -Z-'7(J ~ 6rf1!-F/6"(...D A1Ir:5 <'-,::>
Signature:~~~
Legal Description: Lot
Site Address:
Building Permit #
1. Blue
2. Gold
3. Yellow
JOHNSON, TESS
14098 ASPEN AVENUE NORTHEAST
PRIOR LAKE, MN 55372
(952) 496-3803
NOTE: This permit will not be processEo.... 'lY1lI I........ ......."....''''L''' ""...."IIQ......'..
FIXTURE UNITS
Q,uantlty
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
t
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
Sinks
Bar Sink
Water Closet (toilet)
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
$
$
$ Sl-5D
$ .50
$ t/() p c;c)
.
$99.50
$39.50
This pennit is granted upon the express condition that said
contractor, shall comply fn all respects with the ordinances
of the State Plumbing Code and the amendments thereof.
~~e60 ~J' 1~(}1 DATE
ArrEST
Call for all i spections 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