HomeMy WebLinkAboutPlumbing Permit #99-1128
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS \4\3o~ ~(I\S S+
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION jt
o FINAL
o SITE INSPECTI
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
"PLUMBING FINAL
o MECH FINAL
COMMENTS: W.-- ~ ~bA-TGJt.
o
/
/
/
~RK SATISFACTORY, PROCEED
o CORRECT AC\ "I NO PR CEEO
o CORRECT REINSPECTION BEFORE COVERING
Inspector:
~~
~
Owner/Contr:
DATE TIME
'b-U'~
q;<fl>
qq - l\ 'l..e,
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~,'~~
HE NEXT INSPECTION 24 HOURS IN ADVANCE..
ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
The eenler of the Lake Counlry
CITY OF PRIOR LAKE
PLUMBING PERMIT
APPlicant--!..u,'/, (' G- 'tiu ~/',v9
Address: )ll~"'./<;:7~.' ~
Signature: (/ ~~
. pi' Q. ~
Legal Description: Lot Block Sub 1'1f-:;./bS fN l3'ocJt-/oS
Site Address: I Lj 10 Lf .& f ~ <...r 5' \;1. /'v~ E. -e.J$D
Building Permit # qq- II Z r PID #---25 -930- 07f-0
NOTE: This permit will not be processed without complete information.
1. Blue
2. Gold
3. Yellow
File
City
Applicant
PPNo. CJ9-//za
Phone: Of'l{ ~ 7lc- '-/
FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
y
,
Rough-ins
Water Heater
Water Softner
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
$
$
$ ::39. 0
$ .50
GRAND TOTAL
$4(j .{)C/
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of~e State Plumbi~nco e e amen~me}lts thereof.
:::sfc ~O REC I q//slf9 DATE
ATTEST
Call for all insp tions 24 hours in advance.
16200 Eagle Creek Av. S.B. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer