HomeMy WebLinkAboutPlumbing 99-0124
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
- .
/'fo?O ~ ~ N.E.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1?""1J.'1
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
)C PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~p
;yi p-
~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 &: SAFETY!
INSNOTI
CITY OF PRIOR LAKE
PLUMBING PERMIT
LJ5~5;)
1. Blue
2. Gold
3. Yellow
FIle
Ory
Applicalll
PP No. ClOD J).Y
Applicant: ----R r P. Jr. J... I (.J, J.." :r;" C?.. Phone: /.,;1 I d-../d./ d q - d (" U h.
Address: "7.~ /(/7 '/ "2,:'-d ~ ~_. A ),'l. dJ"IM)'dy" Ac.k I'?;AJ /~
Signature: ~,., U. (!./ I S5l/ do
Legal DeSCriPtio6?'~ot~. Block J Sub. hi/IN ") ic"J- A-CV{Vl .
Site Address:J..!I /1/../) (' ~v.......1V\ ~_~. .eo Au"". ^ Ip-,
Building Permit # %- cfC1-c 1:+4 PID #. ~~- ,qLj -rrJ 1-0
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
TIN Cnt", of IIN Lake Co.n.,,.
Quantity
Type of Fixture
Quantity
~
I
Bath Tub with or without shower
Dishwasher
Floor Drain
-
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
IJ..
Sinks
Bar Sink
I
Water Closet (toilet)
Jo ~ LOJE)1"
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
GRAND TOTAL
Type of Fixture
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ. Double Check, PVB)
Backflow Assembly Test
lawn Sprinkler
Other
~
.s--O
,S,16O.
$ 16-76$0
$
$
$ .50
$ /5FDO{)
This permit is granted upon the express condition that said
contractor, shall comply fit all respects with the ordinances
~ ~h; State Plumbing Code and the amendmeRts thereof.
4~ 7 de; RE~EIPT NO. /;) -,),/..Lf9 DATE
/f lOA / ATTEST
/
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