HomeMy WebLinkAboutPlumbing 99-0057
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCt'lEDULI!D
ADDRESS
l~31" ~W\
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o R HOOKUP
LUMBING FINAL
o MECH FINAL
\1;>'
DATE TIME
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\At ';00
LL
'\,'1,57
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: ~~ W~ U-c.G.-~
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((j;)~ ~ ~ ~._.~ ~
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o ~RK SATISFACTORY, PROCEED
;r~~RRECT ACTION AND PROCEED
o CORRECT WOR'7;CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
CITY OF PRIOR LAKE
PLUMBING PERMIT
APPlicant:~{).e....e.~~ fJ J..l~61f\J~
Address: ?~ ~ ~ E:"'-.l> /fvs ~
Signature: Q ~ h..,.. ~ -
Legal DescrrPtio~ ot ~ Block \ Sub Biz.C() Ic..5V i '-<-b-- f-J,......." Z~
Site Address: It. :;7~ r/LAV~LJA..J r~L' S6"'
Building Permit # ....--- PID # ItS - 0 I"'. 009.> ~
NOTE: This permit will not be processed without complete information.
1. Blue
2. Gold
3. Yellow
File
City
Applicant
s
Phone:
# 11 '~s-7
827- 4053
Tho Conlo' of Iho Lib Coonlry
FIXTURE UNITS
Quantity
Type of Fixture
Bath Tub with or without shower
Quantity
Type of Fixture
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
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
GRAND TOTAL
$
$
$
$ .50
$ m~
I
$99.50
$39.50
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of .h, s.." PIombio, coo., ~d "" mn1Mm"'~f.=f.
3<t3<.,'~..... f-ECEIPTNO. -Jl-z~ DATE
. fU../f\T -, A TIEST
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