HomeMy WebLinkAboutPlumbing 99-1417
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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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r ~ rfJI;
DATE TIME
79- /'1/7
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
~~n~
p.wORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
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Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
1. Blue
2. Gold
3. Yellow
File
City
Applicant
Th. C.nl.. of Ih. Lak. Counlry
Applicant: _J;t':~~t~ Phone: t/~ 7 :::-::117
Address: .-5 3;'}~71 /66/ ~ rz rf6-
Signature: .C~. t?.-- ~~~
Legal DescriPfl<;'~ Lot -. - "-' Block Sub
Site Address: I ~z.9'tJ ;:; s, /I ;t:.I7 .
Building Permit # q t:J - / t.f /1 PID # 25 - (J 3C; - n L 1- Q
NOTE: This permit will not be processed without complete information.
Quantity
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Type of Fixture
FIXTURE UNITS
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
X'
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
Sinks
Bar Sink
Water Closet (toilet)
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
$
$
$ -17 ~-z,
$ .50
$ /jeOD
$99.50
$39.50
This permit is granted upon the express condition that said
contractor, shall comp in all respects with the ordinances
of the State Plumbin the ;;;;;;t8 thereof.
3~S, / o. C;9 DATE
ArrEST
Call for all
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer