HomeMy WebLinkAboutPlumbing Permit 94-0102 CITY OF PRIOR LAKE 3:� °�,;pA
PLUMBING PERMIT # 9t� — f ��-
O .� PR j�� APp�icant: .�.. - 72,IZ �._ Phone: �
Address: � � �
�" y Signature;
F
V � Legal Description: Lot .� Blodt 2 Sub: fi �Q,n t��tu�
Site Address: � \
Building Permit 3- 0� PID # .�.5 �.� I/— D//—A
���'N E SO NOTE: This pe ''ll not b 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 com�Artment sink) $ 6.00
shower Sta�� CL�SED $ s.00
sinks: -INACTIVD� TO ►o
Bar Sink
TY 8 /30/01 �o
Water Closet (talet) 00
Rough-ins a o.00
Water Heater $ 6.00
Water Softner $ 6.00
,
Stand Pipe (washing machine) $ 8.00
Sewage Ejedor $ 6.00
Backflow Assembly (RPZ, Double Check, PVB) $25.00
Backflow Assembly Test $10.00
Lawn Sprinkler $25.00 �,�'4�
Other $ 6.00
Minimum Fee $25.00
SURCHARGE �50
GRAND TOTAL $_,2„�
This permit is granted upon the expross condition that said �� `�
wntractor, shall oompty in all respects with the ordinances
of the State Plumbing Code and the amendm nts thereof.
370 RECEIPT NO. ��Z,3 , DATE
ATTEST
Call for all ins! ions 24 hours in advance.
4629 Dakota St. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / PAX (612) 447-4245
AN EQUAL OPPORTUNITY EMPLOYER