HomeMy WebLinkAboutPlumbing 99-737
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED (.,.. ;;< 1--03
U~ 7'-19 ~~
CONTR. {/
PERMIT NO.
99-73/J
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 0
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
')'V\ i)
r
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
Tb. C.G.., o.r lb. Lak. COUll'".
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: Akt<8LD#1 hJ/fI/h/JJt;
Address: -Z.- <1 C.J ~ ~~6('f'> A1!e c-~
Signature: ~ .....- ~
Legal Descr(pti&;"<<ot....~ Block I SubJiJ.l-1 JwJ s 41Ji
Site Address: I' W 5A Y ft~ <3ov..rH~Sr
Building Permit # PID # ~ - I J:3 - 0 C3-C>
NOTE: This permit will not be processed without complete information.
I. Blue file V
2. Gold Cjty
3. Yellow Applicant _.
f'p No. qtJ - 737
I
Phone: R 2..7-0/033
FIXTURE UNITS
Quantity
. \ : .
Type of Fixture
Quantity
Type of Fixture
8ath 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)
I
t
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
$ .3J::J. SO
$
$
$ .50
GRAND TOTAL
$ !/fJ ~ CXJ
This pennit is granted upon the express condition that said
contractor, shall comply rn all respects with the ordinances
of the State Pll1mbin~ 9>je and the amen9m:2. thereof.
3550'7 ~J //r9 DATE
. V.....:.- A TIEST
Call for a .
16200 Eagle Creek Av. S.E.. Prior Lake. Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer