HomeMy WebLinkAboutPlumbing Permit #99-180
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
1
ADDRESS l.a t, e 3
~
ed
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
(WEWER HOOKUP
PLUMBING FINAL
o MECH FINAL
C~S:~
I~I;~
TIME
q .7t)
Q'1-ISo
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
iI~ ,r~ ~
~~~
, F
~ ~
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L SATISFACTORY. PROCEEO
o CORRECT ACTION AND PROCEED
o CORRECT WO-". CALL FOR REINSPECTION BEFORE COVERING
Inspector: 1m- ( Owner/Contr:
J
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
TIle enter 01 ..... Lake Country
CJ I Y OF PRIOR LAKE
.
PLUMBING PERMIT
Applicant: f\J(J'(6\G'VV\ 1'\~i^'J
Address: 2<=705 Cna-f!-ic.Jd Ave. So.
Signature:. -!:tI1-7hA/'I./'"--- ,
Legal Description: Lot I -3 Block sUbl::x:1...i::..IoM.d..J3tact;\ 3 ve1Ae.1.d<<,
Site Address: c,G, 83 R Ll.~.ic;lc- . RolLC! ( Ue.v\l'I is Sf\i' i5 h~... '-/47 - 7~35 ') K [5 D
Building Permit # 4'4 -~ PID # ~ - 13 7 - fYin-O
NOTE: This permit will not be processed without complete inform~
FIXTURE UNITS
f'p No.
Phone: F2i- 403s
1. Blue File
2. Gold City
3. Yellow Applicant
qq -l~()
Quantity
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
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
$99.50
$39.50
$
$
$ 31.'3)
$
.50
GRAND TOTAL
$ t./O. C/b
This permit is granted upon the express condition that said
contractor, shall comply fn all respects with the ordinances
of the State Plumbing Code and the amendmen~thereof.
34-rdo 1\~F,CEIp! NO, ~-/l.({f DATE
( 1K.U...J ATTEST
U
Call for all inspections 24 hours in advance.
16200 Eagle CreekAv. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer