HomeMy WebLinkAboutPlumbing Permit 99-1166
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
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/'-1/30 6lua~'1AJ Nt
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS: @
SCHEDULED
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
5~
"
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?9-1/66
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
")i WORK 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 & SAFETYl
INSNOTI
Tho Conlor or Iho Loke eounlry
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: C l1LL 'Y /!R.ATZkE:
Address: /41.3D BLUESI RD T t:2..L 1'-.1 E:
Signature: C~ 9- k!~
Legal Description: Lot /4- Block 2-
Site Address: /~/~ p~(/6E/.eD
Building Permit # 9q- /39 PID # ~-34-3- (}z;:3-e>
NOTE: This permit will not be processed without complete information.
PPNo.
Phone: 44c)"- 375 B~
1. Blue File
2. Gold City
3. Yellow AppIiCUI
9?-lltP~
Sub ~ HIU_/ 2-NO
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
X 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
$
$
$ 3/=t.SO
$ .50
$ 40, eX:;)
$99.50
$39.50
This permit is granted upon the express condition that said
contractor, shaIl comply in all respects with the ordinances
of the State Plumbing Code and the amepdme91s thereof.
3~Z-~A1if1JltUi6. '1/z,.U?r DATE
~~~ ATTEST
Call for all inspections 24 hours in advance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer