HomeMy WebLinkAboutPlumbing 99-1254
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED I~ -If-1? A.[;
ADDRESS f562 ~ (l~)
OWNER CONTR.
PHONE NO. PERMIT NO. 97-lc:S~
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
o FINAL 0 PLUMBING FINAL ~ 0 GASLINE AIR TST
o SITE INSPECTION 0 MECH FINAL ~ 0
COMMENTS: J~IL SbFl~'
]j~~::~~
./
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOPt' CALL FOR REINSPECTION BEFORE COVERING
Inspector: 0. I Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
Tht Ctnlt, of the lob Counlry
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: Si-\-t'w4t\ te.LA--tev &
Address: 7;3~- fi1 ~rJ0
Signature: 6. ( ~
Leg_I DeseMption: Lot ~ Block,3 Sub ~~
Sift:! Address: 'f'C)fD?_ - SPN'-.uLL c(~,er 1<'" tJ~ HI"''' ZIV:P
Building Permit # <:Jt? -/2 5" +- PID # ~, 3:!"1 --c /4 -d
NOTE: This permit will not be processed without complete information.
1. Blue
2. Gold
3. Yellow
File
City
Applicant
PP No, 9~ ~/zsz.1---
Phone:(o rz...-Z53-92 LjV
FIXTURE UNITS
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain { Water Softner
Lavatory (bathroom sink) Stand Pipe (washing machine)
Laundry Tray (1 or 2 compartment sink) Sewage Ejector
Shower Stall Backflow Assembly (RPZ, Double Check, PVB)
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
GRAND TOTAL
$
$
$ :1''1.5V
$ .50
$ JjO.O()
$99.50
$39.50
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbin e d mendmAts thereof.
3(, .; ? ..5 lo/~f 91 DATE
ATIEST
Call for all .
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
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