HomeMy WebLinkAboutPlumbing 99-0079
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
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:
~.e~
~{d ~
~
DATE
TIME
'1'1-19
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
11 ..I:IJ:11
>ar
A WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
~
Owner!Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
--~.._~..-,".-.-,--_.._,~_.----'"~----_'_""""-""'~"- . -....._.._.,...,~.--,-,-
The Conter of the lake Counlry
CITY OF PRIOR LAKE
PLUMBING PERMIT
APPlicant:~A ~ 12 L-t~
Address: I L1 J y.c:; cS, ~O b--e-r + T. \
Signat~ ~ ,~'-
Legal Description: Lot Block Sub
Site Address: JI rJ I c..o '-I ~~~.A rL..P ~
Building Permit # ~ --- PID # fL c; , c.;q~ ~ OZZ - 0
NOTE: This permit ~i11 not be processed without complete information.
1. Blue
2. Gold
3. Yellow
File
Oty
Applicant
# qq~Oo7L .
~EF& # -OC>l~O
Phon<Co5~ ya<;- , I U/ Lf
FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Rough-ins
Water Heater ~ ~~
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
$99.50
$39.50
$
$
$ ~q.~O
$ .50
State Surcharge
GRAND TOTAL
$40.00
This permit is granted upon the express condition that said
contractor. shall comply in I respects with the ordinances
of the State Plumbin Cod d the ~end!f1~hereof.
3~~' /? ~ C 3. __ 2/eJi DATE
~ ' ./ '( , ATTEST
Call for all inspections 24 hou n advance.
16:200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAtX (612) 447-4245
An Equal Op\'lonunity Employer