HomeMy WebLinkAboutPlumbing 99-1403
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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: ~ L... L, .
f)/f"
V I
- ~
~~
DATE TIME
q 9 -/'-103
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
/1) 0 G~~LINE AIR TST
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~
~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.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
1Iec-"_LaM~
Applicant:
Address:
Signature:
ell f OF PRIOR LAKE
cl6!!HIU~Fl'&jMIJoNING
Go~n ~lll I 1~AtilW'V PhOne:
WtiblJ:TONKA. MN 55345
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Legal Oescnptlon: Lot /8 .BIock '2. SfJb H/~L- poMO
Site Addre&S: l '?Xo43 m\+c..rcJ I (: .in.l'.,!.lL. ~E.I 'D:sv id ~\ ~ CI6 @i0
Buikfing Pennit j _ t:1t;-/40-3 Plb t 2.5-/55 - 6Z.() - ()
NOTE: This....... .:1 wll not be p.. .. .....sed withoUt complete Information.
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q9-/~03
#
QuantitY
Type of FIXture
Bath Tub with or withOut shoWer
DiShWaSher
Floor Drain
Lavatory (bathroom sink)
L.aundry Tray (1 or 2 compartment sink)
Shower stall
FIXTURE UNITS
Quantity
Type of Fixture
J
RougtMns
Water Heater
Water Softner
Stand PIpe (washing machine)
Sewage Ejector
BacIdIow AaIntiy (RPZ. COlJ*I Q1Idc, PVB)
8acIdIoW AaHmbIy Test
Lawn Sprinkler
Other
Sinks
Bar Sink
Wafsr Closet (toilet)
FBI! SCHEDULE
Industrial. COmmercial & Multi.Family
(1% of job cost. $39.50 minimum)
Residential. New One & Two Family
Residential. AddItionS & Alterations
State SurcharQe
$99.50
$39.50
s.
s
&'31.50
S .50
GRAND IVIAL
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M)Q tIIo expreII coodidoa tbIt Slid
..""" .....'.. SbaU COI1IIlIY in 111 ,- 't .... ,nib dle orrti"-
of tM SCIII8 PI\ImbhII Code m1 IIIWlDdma1s (. ... .. r.
~S?y /2... . DATE
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16200 Eagle Creek-Avo s.a. Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-4245
An Equal On ,.,.,.mity Employer