HomeMy WebLinkAboutPlumbing 99-294
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CITY OF PRIOR LAKE
INSPECTION NOTICE
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SCHEDULED
ADDRESS
OWNER
CONTR.
PERMIT NO~r;~~Q)~ ?5~
- ---
o PLUMBING RI 0 EX/GRAD/FilLING
o MECH RI . 0 COMPLAINT
o WATER HOOKUP It ~FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL '\. 0 Gy::tINf AIR TST
o MECH FINAL )-1 )( -\
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
.... O..)NSULA TION A
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o SiTE INSPECTION
COMMENTS:
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REINSPECTlON BEFORE COVERING
Inspector:
OwnertContr:
CALL 447-9850 FOR.rHE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE ~TS ARE FOR,:~ PERSONAl. HEALTH & SAFETr!
<.Jr(~~~k.r;~,
CITY OF PRIOR LAKE
PLUMBING PERMIT
APPlicant'-1)d1 (~"i.(l..OSS
Address: 'b~~~ Sc
Signature: I .
Legal Description: Lot:J- Block ~
Site Address: J.J/qi r)li~ ~1- S_~:.
Building Permit # qq - ZQ4 PID #_,J2C;~('O~ . (Ii 2 -0
NOTE: This permit will not be processed without complete information.
Phone:
I. Blue File
2. Gold City
3. Yellow Applicant
# qc:t -2q tf
/, I J-,.. 440 -ts, (\~
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Th. C.nt.r of lh. Lab Counlry
Sub~~rrk?Y J
FIXTURE UNITS
Quantity
Type of Fixture
Bath Tub with or without shower
Quantity
Type of Fixture
Dishwasher
i
Rough-ins
Water Heater KtJ1JA ~ ~
Water Softner ~ ~!i~VJ ff I~J I~
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
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
$
$
$-.b.~
$ .50
GRAND TOTAL
$ 46.0CJ
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing Code and the a!lfndmept~hereof.
3Lfi:TI Rfi'1B:: N?, ~..q; --LL DATE
\~ A11nEST
Call for all inspections 24 hours in advance.
~elli- 4~g?-
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer