HomeMy WebLinkAboutPlumbing 99-0063
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
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OWNER
SCHEDULED
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PHONE NO.
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o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
&I.....~PTIC INSTALL
/'t ~ PLUMBING FINAL
o SITE INSPECTION
o LKSHOREnNETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
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K, C LL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CITY OF ~RIOR LAKE
PLUMBING PERMIT
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File
City
Th. ConI., of Ih. Llk. Counlry
Applicant:
Address:
Signature:
Legal Description: Lot Block Sub fit.1 om\.. c;;- ,(Y1It-(,...(,..-
Site Address:p I' 16/'dq Ie Ma.{{ !pI' ~ c> r LtfK e I/J:'i/VC(:p S~ 0
Building Permit # ifJ>1lJ;O "/ocz.orJ,o A'I)~ PID # 2.5'-40L -021 -0
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
Lavatory (bathroom sink) Stand Pipe (washing machine)
Laundry Tray (1 or 2 compartment sink) Sewage Ejector
Shower Stall Backflow Assembly (RPZ, Double Check, PVB)
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (toilet) , Other luG{+er Coofe;--
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
$ j1,E'D
$
$
$ .50
GRAND TOTAL
$ lftY- 00
This permit is granted upon the express condition that said
contractor, shall comply in all respec with e ordinances
of the State Plumbing Code and the end ents thereof.
34-1:.57 RECEIPT NO,t. DATE
ATI'EST
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