HomeMy WebLinkAboutPlumbing Permit 99-1163
CITY 01 PRIOR LAKE
INSPECTION NOTICE
SCH~DUlED
ADDRESS 331t
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CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION .1\, Ii SEWER HOOKUP
o FINAL r ~UMBING FINAL
o SITE INSPECTION ..~ MEcp.aNfl
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
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Inspector:
CALL
INSNOTl
Th~ C~nl~r of Ih~ Lake Counlry
_CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: {Sf:J h -f ~ J -0n<<f/J
Address: -~-V ~ ~~ tAPA' 4ve nl,
Signature: _ b( ,..JrtA..F/<-- ~ ~ _
Legal Description: Lot _ z... I Block Z Sub Gt..VNI1II1IcK.- vJ.
Site Address:_. ~ '2 'LI ~ Q ~ tv:;,. fe 12. 'Z-
BUildingPermit#-' ~t?--V~ PID# ZS""-3~/- ()t....I- 0
NOTE: This permit will not be processed without complete information.
1. Blue
2. Gold
3. Yellow
File
City
Applicanl
PPNo. 91-//0
Phone:~/_ 2 - ,~? Y ..r t/ _~:J ~
FIXTURE UNITS
Quantity
Type of Fixture
Bath Tub with or without shower
Quantity
Type of Fixture
Dishwasher
Rough-ins
Water Heater
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
l
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
GRAND TOTAL
$
$
$
$ - .50
Vi O~
$ O~<--
$99.50
$39.50
This permit is granted upon the express condition that said
contractor, shall comply in all r sects with the ordinances
of the State Plumbin ame dme)lts thereof.
3" 2-+3 . t-uf If( DATE
ArrEST
,
Call for all i spections 24 hours in advance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer