HomeMy WebLinkAboutPlumbing 99-1261
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
A-
/o-ZJ;J-?? 9.'30
~
CONTR. ~\ ;'~;
PERMIT NO. -/~()
~
o PLUMBING RI RAD/FILLlNG
o MECH RI 0
o WATER HOOKUP /...."" 0 FIREPLA"CE"Rf
o SEWER HOOK .. 0 FIREPLACE FINAL--'"
~ PLUMBING F AL A E- GASLlNE AIR TST
o MECH FINA rr ~.i::f6D SO"""
9,- /Z.~ /
SCHEDULED
ADDRESS
33~9
OWNER
.
PHONE NO.
oK.-
---
COMMENTS: .
~r~
i uJli IlAnr1 f P Mkl
- -Q Lr
-----
-.JcJJ., ~~
/
/
/
~ORK SATI
o CORRECT
qq-Q.(...{
/.
/ c.JL.-~
(.
1
--.'DV'--.
-ff-~
~
Inspector:
FOR REINSPECTION BEFORE COVERING
Owner/Contr:
CALL
R THE NEXT INSPECTION 24 HOURS IN ADVANCE..
INSNOTI
~...,..,.--,~,.
The Cenler of the L.ke Country
CITY OF PRIOR LAKE
Applicant, f1~:'1!J!J:::/~
Address: ~,v...2 ~tK ,IMt0
Signature: ~~o-!:-U
Legal Description: Lot .;3 Block..3 Sub_ GL-v/V'Wri f C~ S .
Site Address: ,~ (p q ffi~{'~ 1hOA i K2cSD
Building Permit # Cl'1'- /2 (P I PID # 25-352- -0/3-0
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
1. Blue
2. Gold
3. Yellow
File
City
Applicant
PPNo 99-/210 /
Phone: 6/ J-S:? l/ - ~0?
Quantity
Type of Fixture
Quantity
Type of Fixture
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
Lawn Sprinkler
Other fp~ tJ~
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
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
$
$
$ 39. 50
$ .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 Plumbin j de and the amendments thereof.
3{,4e?-" It. . /0//9/91 DATE
/JJ / ., ATTEST
Call for al 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