HomeMy WebLinkAboutPlumbing 99-1306
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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
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COMMENTS:
,1),
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DATE TIME
7Cf - /3() 6
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
6( 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..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
The Center of the Lake Country
CITY OF PRIOR LAKE
PLUMBING PERMIT # qq- /30 cO
APPlicant:~liL ~L~ &lI' $-, p~.-..~ ,Phone: C. (1- ~c;,... '$(9~O
Address: f #-1 6? f':> ~4'.., LJ;::,.,'~ t1/lPLE 6Ie~V"E 55,30"1
Signature: Lc..)~. ~ ~
Legal Description: Lot q Block / Sub. ~/1..SPt3E~K. V ,e I D q G
Site Address: I.t; 0 51 t.f M ~ ,to () {2J AI/.J3. ie /6D
Building Permit # Q9'-/30& PID# 25-253-009-0
NOTE: This permit will not be processed without complete information.
1. Blue
2. Gold
3. Yellow
File
City
Applicant
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)
(
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
...---:--.
Backflow Assembly (RPZ, Double ChecI(PVB))
Backflow Assembly Test
Lawn Sprinkler
Other
t
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. SO
$ .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 Pi mbing Code and the ame. nts thereof.
3co R 9 '(} DATE
ATIEST
.1.._.._ .______
Call for all inspections 24 hours in advance.
-;
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-47
An Equal Opportunity Employer