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HomeMy WebLinkAboutPlg Permit 02-0921 11/12/99 FRI 10:19 F_~ 6124414245 CITY OF PRIOR LAKE I4J 004 I I. BIlle POd. 2. Odd CIIy ), Y"w A~ PP No. -.tJ ~.... 9a--/ Applicant COl1llllerc; r.Qnditioned l~ater Co INCPhone=..612-780-0555 Add~ss:. 9~pO W 35~ Service Drive, Blaine, Mn. 55449 Signatura: ~ (\~ci-roVV'\. .t::J( 2-r?/O"'L.rt .---= Legal DeSCription: Lot ~. '. ~ckt-t--L....'\ SUb. t./i-I~i1ildRaid Site Address: l (}.. ( lLj) JlfJ +-1 Q l f\ W (V -( ~- , BUilding Permit #I _PIO # ~ 5 - ~ 7;/- D>>-D NOTE: This permit will not be proceeaed without complete Intormaucn. FIXTURE UNITS CITY OF PRIOR LAKE PLUMBING PERMIT TIlr (~_ of... 1.-.. c.......'l' Quantity Type of Fixture Bath Tub with or without shower Dishwasher Roor Oraln Lavatory (bathroom sink) Laundry Tray (1 or 2 COl11>>.rt,. ..:...1 sink) Shower Stall Sinks Bar Sink Water Closet (toilet) Quantity Type of Fixture 1 RoUgh-ins Water Heater Water Softher Stand Pipe (WIShing machine) Sewage Ejec10r Backflow Aaeetmly (RPl, Co\mlt Check, PVB) Backflow Assembly Test Lawn Sprfnlcler Other FEE SCHEDULe REQUEST FOR INSPECTION Industrial. Commercial & Multi SENT TO CONTRACTOR NO (1% of job cost. $39.50 minim RESPONSE _ CLOSE FILE Residential. New One & Two Residential, Additions & Alterations $39.50 Stat. Surcharge $ _1Q.!10 $ .50 GRANO TOTAL S 40. 00 This permit is (ranted upon the ~xpres. tondition that said concrGtor. shall comply in 11I1 respects witll tile ordinance. ~f tllale P1umbiTlJ Code and the amendment~ lh~. n:of. _/Jz) /)1 RECeiPT NO. ?-d:? It. - ~A TE ~TIEST Call for all inspections 24 hours in advance. 16200 Eagle Creek Av. S.E. Prior Lake. MN 55372 I Ph (612) 447-9850 I FAX (612) 447-4245 An Equal OpportUnity Employer .