HomeMy WebLinkAboutPlumbing 99-1424
DATE TIME
':ITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
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SCHED~LED 1z/1-'l j11 J ! :3R)
HR,e:Tl N..sO ,J / ~ ~ "
OWNER
CONTR,
PHONE NO.
PERMIT NO.
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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
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COMMENTS:
0/A'
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~ORK 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 & SAFETYl
lNSNOTl
Tht Ctnlt, of Iht bkt Coon If}'
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: _ '" 5 Jf;//J/ff/ wAfee. ~ -
Address: <731 ~ JlJ1!:-.. /tzl( ~
Signature: t!..{2
Legal Description: Lot V Block Su~ :3:::-
Site Address: .t:Sl..f7J -/YfA-r fr 'N~ ~A? ~
Building Permit # PID # ZC\-r3<; ..of?--O
NOTE: This permit will not be processed without complete information.
1. Blue
2. Gold
3. Yellow
File
City
Applicant
# cr c:r ' lif 24-
Phone:~ 753 - Y?7',V
FIXTURE UNITS
Quantity
Type of Fixture
Bath Tub with or without shower
Quantity
Type of Fixture
Dishwasher
Rough-ins
Water Heater
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
I
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
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
State Surcharge
GRAND TOTAL
$
$
?a6Q
$ e>7 -
$ .50
ftJc()
$99.50
$39.50
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
o4he State Plumbing Code and the amencjtne';thereOf.
::>('<;'f, RECEIPT NO. ('C{<..o . DATE
/2...0/1- ATIEST
Call for all inspections 24 hours in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer