HomeMy WebLinkAboutPlumbing 99-723
DATE TIME
CITY OF PRIOR LAKE
INCPECTION NOTICE
SCHEDULED
/-7
ADDRESS --1t. 7q 3 Sl"i1ItP,L,.,.s
OWNER
CONTR.
PHONE NO.
PERMIT NO.
q4-7L3
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
L- UIAP\
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~/''I/I1W )
~/
/-
(/ Dx
/\
r- ~ .
\{ '-, '<--
,-WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC;:~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: ry r[-7-D3 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
Tho Conlor of Iho loko Counlry
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: L-A e. R... V HA 6 SIZ-
Address: _ /(p 7 q.j S / f'1 PK./ AlS
Signature: ~~ ~--~
&:?" ' /.
Legal Description: Lot I Block 5 Sub WEST'BUte.y 1 ST
Site Address: /1R7t13 05/ /,-?PK-I NS A VG SW t<!.. I
Building Permit # q 9 - 72-3 PID # 25 - 308 - (917 - 0
NOTE: This permit will not be processed without complete information.
1. Blue File 11/\
2. Gold City 1 /I '"
3. Yellow Applicant
99-"123
PPNo.
Phone:
P. L....
,;
FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
Rough-ins
Water Heater
Bar Sink
x
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
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
$
$
$ 3q. 50
$ .50
GRAND TOTAL
$ 1./-0.00
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbi1Ji/lg cepe end ents thereof.
~44-cs- . qLDATE
./ ~ ATTEST
Call for all Jspections 24 hours in advance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 553721 Ph (612) 447-98501 FAX (612) 447-4245
An Equal Opportunity Employer