HomeMy WebLinkAboutPlumbing 99-0776
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
COMMENTS:
/'Y1.L1
DATE TIME
SCHEDULED
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CONTR.
PERMIT NO.
qC;- 77?
o EXC/GRAD/FILLlNG
o LKSHORENVETLAND
o COMPLAINT
((K) 0 SEP.TIC FINAL
:.A 1 ,&FIREPLACE,
'f'('Y" 111 W IV
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o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTlON~D PROCEED
o CORRECT W~O L FOR REINSPECTION BEFORE COVERING
Inspector: ' . Owner/Contr:
"'" ,
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
1- t,
-ADDRESS
L-/ I SJ
flLt~b~"",, fl; d~<-
I
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:
LaWvt
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If
q~-77l
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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R~
f"'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: 114" I-r.-~_ Owner/Contr:
./
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
1. Blue
2. Gold
3. Yellow
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File
City
Applicant
Signature:
Legal Description: Lot Lj. Block 5
Site Address: LII J) K'ffSben IZ/} I?d~<r'
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Building Permit # PID # 25-.3()t./-- 02..5-0
NOTE: This permit will not be processed without complete information.
~PLUMBING PERM~T PPNo. qq-77b
fYtlttllu L/lz,~ ?/V>>vty.~S Phone: ~t:7
5f~ I~ ('I(2~d(jLU bru/c LY\.- R/ SD
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Tho Conlo' of tho Lako Counlry
Applicant:
Address:
Sub IV75PB6te.R.. V R.. ( o<s, e: 2.A/.
~ . .
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
Bar Sink
Water Closet (toilet)
4
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Testl
Lawn Sprinkler /
Other /
I
Lfi rV,J ,pf2
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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
$
$
$
$
.50
GRAND TOTAL
00
$ "16 --
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
o~~~lumbin de~an;;; ;:7~d;;7qs4her~~~
'):;t _~TTEST
Call for all nspections 24 hours in advance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer