HomeMy WebLinkAboutPlumbing 99-1344
CITY OF PRIOR LAKE
PLUMBING PERMIT
1. Blue
2. Gold
3. Yellow
File j
City
Applicant
lht Ctnl.. or lht Lokt Counlf}'
PP No. qq - /344-
APPlicant:~f)illJ"4 4:;)~. -rd.. ~ Phone.: (('p /7 ') 71...~~ -9?-Y.l/'
-/We:-"l1'JJ NIJe ~. ~rr15Yi"i'. 1'1?ftJ.._ -'
Address: ~'-r7' ~jJ..l~ .J~ : I~ ..;~~.q
Signature: 11#'~ . ~n~~LJ'?
Legal Description: Lot Bloc~ ~ Sub
Site Address: 1~1J/ I -a.,oo'l'o..&'-I- .4/'YlF',,-IcuJ.J
Building Permit # 99- L<,44- PID #
NOTE: This permit will not be processed without complete information.
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FIXTURE UNITS
Quantity
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
Sinks
Bar Sink
Water Closet (toilet)
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
FEE SCHEDULE
CLOSED DUE TO
INACTIVITY 1/1/03
Industrial, Commercial & Multi-Famil
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
'" ~'?.5V
$
$
$ .50
GRAND TOTAL
$ 4-6, IJ ()
This permit is granted upon the express condition that said
contractor. shall comply in all respects with the ordinances
of the State Plumbing Code and the ame me ts thereof.
.:sheil'? E' 1/ /' DATE
f
. 0'. ATIEST
Call for all i spections 24 hours in advance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer