HomeMy WebLinkAboutPlumbing 99-451
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
,..
ADDRESS 3LJ.t.j 3 &- \ Y Yl wa +;'/\
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
CONTR,
PERMIT NO,
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL 11_
o MECH FINAL .,...-r:-
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L\O~o
-----
1/:,E
~pe'
TIME
/0 :CO
<1q -tjSJ
o EX/GRAD/FilliNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
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11 WORK SATISFACTORY, PROCEED
/ d CORRE CTION AND PROCEED
o COR CT K, CAll FOR REINSPECTION BEFORE COVERING
InspecttV Owner/Contr:
CALL 44~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
CITY OF PRIOR LAKE
*
Applicant: ~J}:~/T
Address: C.2 'f;J q; wjJtc ~ ty;
Signature: ~~
Legal Description: Lot 5 - Block 4-
Site Address: X l/ </S ~j.t/ ~-1::1[/ ~iJ
Building Permit # yrf-l(SI PID # ;15 -3~1) - 66 & - I
NOTE: This permit will not be processed without complete information.
Tho Conlo' 01 lho Llko Counlry
FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
I
Sinks
Bar Sink
Water Closet (toilet)
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
1. Blue File
2. Gold City
3. Yellow Applicant
# QQ-t.J57
Phone: ~/.)- 5.7'/- #S?6
jJ tuu ~ /J1 h c.., < y--;;'~
r90ruJdA ~.
Sub
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other ~ t7~
$
$ -
$~.~c.J
$ .50
$ 4(). OD
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 am~dm~ts thereof.
250QS- ~~WlNO. +< ~If~ DATE
/!/lI.::tt.f" ATIEST
Call for al~nspections 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