HomeMy WebLinkAboutPlumbing 99-1412
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Applicant:
Address:
Signature:
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Legal Description: Lot Block Sub
Site Address:~.5L() j-\ A-V' Do ~ rvL 1\\':> - l..fo3-Cf'ty(~
auilding Permit # PID # -Z5 - 2.38 ..011- ()
NOTE: This permit will not be processed without complete information.
CITY OF PRIOR LAKE
PLUMBING PERMIT
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Phone:-.G[G.~ '?S3 -Cj2~Y
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1. Blue File
2. Gold City
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FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stafl
Sinks
Bar Sink
Water Closet (toilet)
I
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
Dishwasher
FEE SCHEDULE
CLOSED DUE TO
INACTIVITY 1/1/03
Industrial, Commercial & Mult
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$ ~9. 5"D
$
$
$
.50
GRAND TOTAL
$ qo.o7)
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbi ~he amet;;me thereof.
..3'5PJlo . 12. I '1'1 DATE
. }
/ ATTEST
Call for all .
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer