HomeMy WebLinkAboutPlumbing 99-1375
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDUlED
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DATE TIME
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I &;0 -4 3 ApPA LD DSA- T f%-
ADDRESS
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 SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
'Q...GASLINE AIR TS@T
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~ OwnerfContr:
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
08;03/99 T!.'E lD: 47 FAX 6124474245
CITY OF PRIOR LAKE
l4J 003
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CITY OF PRIOR LAKE , i ~:~, :.ow
PLUMBING PERM" PPNO.: cjCJ-/3'7S-
Applieent:.1:lLtn-tQ_- 'vitJ.Jer Ireo.:;-Jrt phOne:,y,I:J.-i q53- 4-~Lj3
Addl'8u:..:.J.:::l:;fjj hiiOdlJl.nd- fa !
Signature: ~, L I / ~ IJ v-J i
I..gat Deser.: Lot J:) Block ~ . S~~rt5Ef2IC~~/Oq63/~1
Bite Addreaa: t5043 A~JOOSlL Trull Prior ~ IC/Sf-J
BulldtngPermlU qq-11;7...~ PlD. 2L' -,.3<-f2-(')()5-{)
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NOTE; This permit witl not be processed without comp'-'. information. I
fIIXTURE UNITS I
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Quantity
Type 01 FIxture
aath Tub wlh or without shower
Dishwaaher
Floor Oraln
!..watery (bathroom ,ink)
Ll1Indry Tray (1 or 2 compartment sink)
Show.r Stall
Sinks
Bar SInk
Water Cfoset (toilet)
Quantity
Ty~ ~ FixhJre
Rough-in.
Wallr Heater
Wat.r Softn.r
Stand Pipe (washing machine)
I
Sew.;. Ejector i
EIIddIow Aesembt1 (RfZ, Doubl. Oheck, PVB) I
Backflow Assembly test '
laWn Sprinkler
Other
FIE SCHEDUUi
Industrial, Commercial & Multi-Family
(1% of jOb colt, $39.50 minimum)
Residential, New One & Two Family
A.ldentlal, Addition. & Alterations
State Surcharge
$99.&0
$3G.60
$
$
$
$
,50
GRAND TOTAL
$ 40.00
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16200 Eagle Creek Av. S.B. Prior Lake. MN 55372/ Ph (612) 447-98301 FAX (612) 14'-424S
Au Equal Opportunity Employer .
ThiS J)eMlil is lrantccl upon the expre55 condition that nid
COlluaC!ot, &hlll COl'tlJlly in iii respects with the cwdlnSlnce.
or tit. Stlltc Plumbirll Code and Che am , lhereof,
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