HomeMy WebLinkAboutPlumbing 99-0073
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS \b S "
hve l-tn,wlC..s
OWNER
CONTR.
PHONE NO.
PERMIT NO.
D FOOTING ~LUMBING RI A-
D FRAMING D MECHANICAL
D INSULATION D WATER HOOKUP
D FINAL D SEWER HOOKUP
D FOUNDATION D SEPTIC INSTALL
D DEMOLITION D PLUMBING FINAL
D FIRE PREVo '\ \ + \. s: pr;NSPECTION
COMM~_~~
C~- o~
('M'?I'-
/
/
flWORKSAT
D CORRECT
D CORRECT \1\
EED
EED
REINSPECTION BEFORE COVERING
DATE TIME
s-S-C"pr
Avt:-
'3:3u
CfCt-0013
D EXC/GRAD/FILLING
D LKSHOREIWETLAND
D COMPLAINT
D SEPTIC FINAL
D FIREPLACE
D
hl~
Inspector:, Owner/Contr:
CALL ~JO FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
..... c- ., .. ..... CeIIMot'
CII f OF PRIOR LAKE ~ E,;. :...
cI.6l!NlJlf!fiJ'&R.MIJoN'NG # ~O{; 3
Applicant: S030 ~.I11 I I~AN WAY PhOne:
Address: UJ.bl,blJ:T(}NKA. MN5534~
stgnatute: (R12) 9~.72QO .
legal 0acrtpCI0n: Lot. t\ BloCk \ Sub. . f"1~lC1~Vt~ 'L~ G/~
Site AddnlSS:~ / h:~.JI0J ~t)~A( 1.1J .6.t:- .. ~I ~
BuildlngPennit.. . ,PIO# l.'2..c;.'ZlS".OIl~O
NOTE: Thi8 permit wt'll not be p". . ...Md withoUt compIet8lnformation.
FIXTURE UNITS
QuantIty
Type of F'lXture
Bath Tub with or withOut shoWl'
OI8hwuher
Floor Drain
Lavatory (bathroom sink)
~ryTmy(1~2=~mM~
Shower Stall
Slnb
Bar Sink
Water Clout (toilet)
Quantity
Type of Fixture
I'
Aough-ins
Water Heater
Water Softner
stand Pipe (washing machine)
sewage Ejector
Backftow ~ (RPZ. Cod>>lI Qwck, PVB)
Bacldfow AaembIy Test
Lawn Sprinkler
Other
Fa SCHEDULE
lnduatrlal. COmmercial & Muau.Family
(1% of job cost, $39.50 minimum)
R8IIdentiaI. New One & Two FlIII1ity
Residential. AddItionS & Alt8ratlonS
Stale surcharae
GRAND IUIAL
$
$
l.i!l/il)
$ .50
$ ,10. DO
$99.50
$39.50
)C)Q dlo expreu coaditiocl tbat said
coa1rICa'. IIIal1 COIIJIlIY ill 111 ~ ~ orMftll-
of die s.. Pl1IIIIbhI8 Coda m4 Cbe ., .,.,. r.
"34 ~~ lUM;u I t<<). 't- ql DATE
(U) t-\- ,Au&.o) I
Call for all inl', .w~',ona 24 boon in Idvmcc.
16200 Eagle CrectAv. S.E., Prior Lake. Minnesota S~3721 Ph. (612) 447-4230 I FAX (612) 441-4245
AD Equal O~lY BmpIoyer