HomeMy WebLinkAboutPlumbing Permit 95-0205 1 Blue File
CITY OF PRIOR LAKE 3�;ow ��,;�,
PLUMB/NG PERMIT # �-�S�
O � PRI�� Applicant: Q�er �"�� Phone: µµO ^� �`�
Address:
'�" y Signature: •�-c-
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V � Legal Description: Lot Block Sub:
Site Add�ess: 3 o18(r� � ��I� a J�
Building Permit # �.� �L' PID # �.�-/�� - 0
���'N ESO�� NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Unit
Quantity Type of Fixture Amount Total
� Bath Tub with or without shower $ 6.00
Dishwasher $ 6.00
Floor Drain $ 6.00
Lavatory (bathroom sink) $ 6.00
Laundry Tray (1 or 2 compartment sink) $ 6.00
Shower Stall
sinks: CLOSED DUE TO
sarsink INACTIVITY 8/30/O1
Water Closet (toilet)
Rough-ins $ 6.00
Water Heater $ 6.00
Water Softner $ 6.00
Stand Pipe (washing machine) $ 6.00
Sewage Ejector $ 6.00
Backflow Assembly (RPZ, Double Check, PVB) $25.00
Backflow Assembly Test $10.00
Lawn Sprinkler $25.00
Other $ 6.00
Minimum Fee 25•00
SURCHARGE .50
GRAND TOTAL $ ,'�• SD
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the otdinances
of the State Plumbing Code and the amendments thereof.
aZ I RECEIPT NO. �2 7��23 DAT'E
• ATTEST
Call for all ins t ons 24 hours in advance.
4629 Dakota St. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
AN EQUAL OPPORTUNITY EMPLAYER