HomeMy WebLinkAboutPlumbing 99-1300
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
.
OAT!'-',,,,
11/..,/90 -'~').:,. "-
,
,~.
ADDRESS
q.~c;o C'LJcORAVO ~r .
"".......-ti.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
99-/3(X')
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
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
A 0 GASLIN~ AIR TST
tf H 2. U CZJOLFP
MM~NTS: r
. ! AIr.
\ ( G ') Vv V'fV ?
(
l
~~
. iN ~
'~ hk
Owner/Contr:
Inspector:
CALL 417-9850 F R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE R~UlREMtNTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
V INSNOTl
CITY OF PRIOR LAKE
PLUMBING PERMIT
1. Blue File
2. Gold City
3. Yellow Applicant
qq-/3oD
Tho Con to, of tho Lib Country
PPNo.
Applicant: ~"'-., '" {\ ......,C~L-~S Phone:\DI... 'l..-SSD- G. \..D ~ ~
Address: 2.4\.;:;:. D..~~~~~\. <. \..~\..1~ ~ \ ~O (::>~''T'\.&!'1'~ ':",c:;.",~ \
Signature: ~ t. ~ . '\ ~~ ,/
~
Legal Description: Lot I Block I...-:=l) Sub
Site Address: '--' '--~ D (' ......'-Ce..A.....f', S~ . S.~. (5Cul I RIG€. ~ c..3
Building Permit # QQ-/30n PID# .2..5-00I--J'OQto-Q
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Quantity
Type of Fixture
Bath Tub with or without shower
Quantity
Type of Fixture
Water Closet (toilet)
\
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other W ~ ~=R.. f\
,""", =- \.-OeL 'E.~ \
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
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
$ ~G.,SO
$
$
$
.50
GRAND TOTAL
$ 40.00
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing Code and the ame drr ents thereof.
3lo~~r8 _RECWTNO: II ~DATE
~ ' ATfEST
Call . inspec on s t~nce.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer