HomeMy WebLinkAboutPlumbing 99-1322
DATE
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
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/'1 S'Ii ..),~ L-r.. /IIZ.
SCHEDULED
OWNER
CONTR.
PHONE NO.
PERMIT NO.
71- ~ 13J.~
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
~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~J1
~p
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
~
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
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.....,.
Th. C.n..r of lh. Lob Coonlry
CITY OF PRIOR LAKE
PLUMBING PERMIT PPNo. qq-/32-7
APPlican;St~N \ ~ O?,O \. S' _ _ Phone:
Address: ) r;; q.~, ~()rQ, loN ~ l\l ~ . J / {lI1 N <;:;4'1, 7 'H...
Signature:~ )(\~~
Legal Description: Lot .3 , IBIOCk. E Sub SAND Po, NT t./- TH
SiteAddress:~ S"''('C'LO\N~ f\)h PL f'I1w -S'1~7.:::J pvsO
Building Permit # CJ?-/3z-"7-- PID# 25-215- IO~-O
NOTE: This permit will not be processed without complete information.
1. Blue
2. Gold
3. Yellow
File
City
Applicant
FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Type of Fixture
Sinks
Bar Sink
Water Closet (toilet)
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
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
$
$
$ 3 c:;. 50
$ .50
GRAND TOTAL
$ 40.00
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 amendments thereof.
3'" 50 2- ~~AQo. L! ,It:; l~- DATE
/IMP ATIEST
Call for all~pections 24 hours in advance.
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16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer