HomeMy WebLinkAboutPlumbing 99-1002
DATE
TIME
ItT
CITY OF PRIOR LAKE
INSPECTION NpTICE
SCHEDULED
/- {, -03
ADDRESS
J~~ J\.}~,.fk~~ RaP
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1 f - /ooz..
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
o GASLlNE AIR TST
X l-w.. S~,'&..~kr-
COMMENTS:
(l n t -W... 1, Jl." L. ~ ~> ('611-') P c-\ \oj <-{~~;.i.d '--
~.e~). ,.,:Jh _ y~} jAA ,\- Ii. , ~\; ;~' V /'P" lAd t
Lu . .' u, t c::. c",(' I:' ,'I,. V:-'. L-L.\-( ( l ~
/'
.rRK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECZcJt. CALL FOR REINSPECTION BEFORE COVERING
Inspector: r / . Owner/Contr: -
CAL~ -r::Kso FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
Il'ISl'IOTJ
p
Th. C.nl.. of Ih. Lak. Coonlry
CITY OF PRIOR LAKE
PLUMBING PE.RMIT i:PN. qq-IOoz-
Applicant: f-)C(I/'eJ~td J/ IAM~C'nq p,honJ-.{pJZ) f)"L - (, 9/f
Address: --11.e5/D J{)Y'f iAtl l4cJ'!> C q/(~v,II~_1"f Vj~dA.. .
Signature: ~~ ~
, ..
Legal Description: Lot / as Block Sub /If Oie.17'1 rl'oo D
Site Address: Ito ()5~ ,v{)f'tlwoocl f(d ;V~ tV, Je/SD
Building Permit # . 9~ ~ /00 Z- PID # ?~ -14-/- t)7/- 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
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
x
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Sackflow Assembly (RPZ, Double Check, PVS)
Backflow Assembly Test
Lawn Sprinkler
Other
Bath Tub with or without shower
Dishwasher
Floor Drain
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
State Surcharge
GRAND TOTAL
$
$
$ 39.5-0
$ .50
$ i/O. rJ7)
$99.50
$39.50
This permit is granted upon the express condition that said
contractor, shall comply' a I respects with the ordinances
of the State Plumbing C n dme2ts thereof.
.~~'S- R 3/7~DATE
bTIEST
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer