HomeMy WebLinkAboutPlumbing 99-0777
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
JJpt ~ r- ~~r
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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DATE TIME
;l-1L.!
7 <1 - 777
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
, WORK SA nSFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: J11? )-1- '-I-il} OwnerlContr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
Quantity
CII V OF PRIOR LAKE
PLUMBING PERMIT
APplicant/!e.J - /)f,.( !Z1i?k Phone:plz ~I 0.).) ~
Address: f}.?oo ~~ #f/o tJ?~d1,AJU--H1 S~YYI
Signature: ~~ /
Legal Description: L~ q Block Sub: PR.IOR.. WOOD
Site Address: _=?3~'1 KP~--f .if s I-J Ie I sO
Building Permit # PID# 2S-/()3- 010- 0
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
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)
Rough-ins
I Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other ~W~;(.. ~
Minimum Fee
1. Blue
~
File
2 Gold
3. Yellow
City
Applicant
#
qq-777 .
Unit
Amount Total
$ 6.00
$ 6.00
$ 6.00
$ 6.00
$ 6.00
$ 6.00
$ 6.00
$ 6.00
$ 6.00
$ 6.00 l
-S-&O<J...39. 5lJ
$ 6.00
$ 6.00
$ 6.00
$25.00
$10.00
$25.00
$ 6.00
$25.00
SURCHARGE .50
GRAND TOTAL $ *~
This pennit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State PlUm~ing :r:nd the a~et me~ thereof.
3555 z.. ' r}nfl:;rJ (PI z2.j91 DATE
va" . ArrEST
Call fo~~ inspections 24 hours in advance.
4629 Dakota St. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
AN EQUAL OPPORTUNITY EMPLOYER