HomeMy WebLinkAboutPlumbing 99-1038
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS L..Unb" b
~od
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL jz(' PLUMBING FINAL
o SITE INSPECTION 'b MECH ~~AL
COMMENTS: \J~ ~tmf1L.
())
p~
~
0A,1v.L
TIME
Cf;(fQ
G}'1- l036
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o 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
08/03/89 TUB 10:47 FA! 61244'T4%4~
un:' Ul" t'lUUt< LAl\J:.
l4l.IUVv
i
;
, CITY OF PRIOR LAKE
PLUMBING PERM"
Appllcent:...1J1l.a:b1- W/I kr- -rrr ,1:fh1~t Phone:
Address: j1~B~ Good Id.r)d l'lL-ih LO.J.eVI JI e.- Mt\J ss[i--/4
Signature: ~. II 0 ~ A.J...~ , !
I..gal OQIC~: I.ot 10 Block 4-- SubJiOOOft066 FST7l'(ES 31$P
Site Add,..l: J!-t,5 {, PtJ-rJ...lJJJ2lJd Pr. Sf; fhor We! MAl ,€ I
Sulldlng permlU 99- /0..38 ,PIO,. 25'r 3/7-- 027- 0
NOTE: This permit wll not be processed without complete Information.
fiXTURE UNITS
I "..... VIh
:1. Gold Clly
.3 Y-VOll' AppIUII/
t99-I03B
~
PPNo
Tltt ("IIPI' If I"" LHt c......"
Quantity
Type of Fixture
Bath Tub with or without shower
Oiahwaaher
Floor Drain
lavatOry (be.tt1room .ink)
lBUn~1' Tray (1 or 2 compartment sink)
Snower Still
Sinks
Bar Sink
Water Closet (toilet)
Quantity
TyPt o~ Fixture
Rough-ina
Water H..~r
Water Bohr
Stand Pipe (washln~ machine)
Sewage Ejector 1
I
4
6tCld\oW AaMmbIy (Rtz, Double Check. PVB) I
Baekf10w Assembly rest
Lawn Sprinkler
Other
FEE SCHEDULI!
Industrial, Commerciall Multl.Family
('% of JOb CoM, m.60 minimum)
Residential, New One & Two Family
Rtlldentlal, AdditiOna & Alterations
Stat. Sureharge
$99.50
$39.60
$
$
$ :3~ 50
$ .50
GRAND TOTAL
$ 40.00
This permit i5 '!'tnted upon the elI.J'.Il'f.~ CO\'l(liticm that Jaid
contractor, ahall co11'lpl)1 in all .......~I with Ul. :Il'dinanccl
of tho State P1umbilll C I lhe aMt ~1reOf,
~O5" R r / OATS
. ".,t:...~ A il'EST
Call for all i".ctions 24 hours in advance,
16200 Eagle Creek Av. S.B. Prior Lake. MN S5372/ Ph (612) 447-9850 1 FAX (612) 447.4245
AD Equal Opponunity Employcr :