HomeMy WebLinkAboutPlumbing 99-238
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CITY OF PRIOR LAKE PPNo. ~(~73~v/
PLUMBING PERMIT V/-f v 2)
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Applicanl:. mlY1l1J.<ft"tc'1. WOd'~r 1 rla\nt..Q.n-r Phone: 1~ ~~ 1.~6~
Address: 18.'lO~ ~ linn eO{Jldr, tnn SS'/J./8-
Signature: '4__ ._/ (~~ · , -
Legal Description: LoV 3 ~Ck d Sub ~(J,{-j ~OlNS
Site Address: liO;:;l.l.p, Ph:P~ @ctdr.W ~n Pnor LatJ) e...1
Building Permit # yq -25-6 PID# :15- ~/L/-()
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Tht Ctnlt, of Iht Llkt Counlry
Quantity
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
FEE SCHEDULE
CLOSED DUE TO
INACTIVITY 1/1/03
Industrial, Commercial & Multi-Fan
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$
$ ,~q. 50
$ .50
GRAND TOTAL
$ 1.10. 00
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the St-1;~lumbing Code and the ami~'ints thereof.
54<1 r-1 RE~NJ: N<\ 3 1QCj DATE
.!fA ) ATTEST
-
Call for all inspections 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