HomeMy WebLinkAboutPlumbing 99-1284
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
ADDRESS
/56oq
I
SCHEDULED ~ 4:0f)
ISL/i.N 0 VI F:l1J Ie/)
OWNER
CONTR.
PHONE NO.
PERMIT NO.
QC;-/Z84-
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
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
.x H~(g€r.
COMMENTS:
tv .S. c; . K:
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION A~'ROCEED
o CORRECT W1l0A _L,I .OR REINSPECTION BEFORE COVERING
Inspector: - <:\1' . Owner/Contr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANC!E.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
~--",.,,~..,.~"~..-....-....,..
CITY OF PRIOR LAKE
PLUMBING PERMIT
, ,
Applicant: SJ+.iLo (-}ft- ;::,- Q 1\ e rt 'y Phone: G i 2... --7l53 - "1 2HY
Address: ~):r ~J-7-sf,~ ,~:,:,;!"._,:~ 73lCf- !GG, &AueN::<J EM~.;e-R.:j'~I\(.<J
Signature: ~~
Legal Description: Lot / 4' Block./ Sub /SL V I e::v-J
Site Address: )~q-~LJt?v,() V,"eu) W .elSe;;
Building Permit # qf-/Z13~ PID# 25'-O~S;--- 064--Q
NOTE: This permit will not be processed without complete information.
1. Blue
2. Gold
3. YeIlow
File
City
Applicant
PPNo.
qC7-/Zg~
Th, ern I.. of Ih, Like Counlry
FIXTURE UNITS
Quantity
Type of Fixture
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
Sinks
Bar Sink
Water Closet (toilet)
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
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 SV
$ .50
GRAND TOTAL
$ 4tJ.o ()
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State PlUm~bing t enj! .1 men~ thereof.
..5(;.4- t?t; R . k:7/ff. DATE
. -2. IF ArrEST
Call for all ~C:ions 2~ hours ~vance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372 / Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer