HomeMy WebLinkAboutPlumbing Permit 99-0056
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
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SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL. ~ 0 . GASLlNE AIR TST
o MECH FINAL W 1< j/J1t ~ te- 1+Tf!- .
COMMENTS:
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ \ Owner/Contr:
(
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: Novblom Plr-vnbV\q CO.
Address: ZQO'5 ~a(.f,..e,ld ~VJL
Signature: CKJ-J--, Nul ~
Legal Description: ~tVV llQ Block 4
Site Address:~ l'3z..1 Mil \/1', <; TvO\..\ \
Building Permit # PID# 1l.5~if.t;"5~tfiJ"7-0
NOTE: This permit will not be processed without complete information.
1. Blue
2. Gold
3, Yellow
File
City
Applicant
The Croftr of the L.ke Counlry
# '11-005<"..,
Phone:~/-4033
~C2LL ~
Sub <)" H-A- tJ 0 jL.J.... fA
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)
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
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$
$ ~CJ. 5::>
$ .50
GRAND TOTAL
$ !.O-CO
This permit is granted upon the express condition that said
contractor, shall comply in all respe~t with the ordinances
of the State Plumbing Code and the a e~d nts thereof.
~4',>~> nRE~PE!NO. r. z., DATE
KJ/.!'( l ATIEST
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