HomeMy WebLinkAboutPlumbing 99-1172
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CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~
OWNER
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 1\ ~q...sEWER HOOKUP
o FINAL K~ PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: l r~ S(J~C/l
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TIME
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
Inspector: Owner/Contr:
CALL \447-9850 FbR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE ~EN1S ARE FOR YOUR FERSONAL HEALTH & SAFETY!
INSNOTI
The Crnlrr of 'hr L.kr Counlry
CITY OF PRIOR LAKE
Applicant: i!meG ~
Address: r;-./ l/ ).- () r)JAtt( ifil'(J /7/
Signature: f?'jhd-./'.-e/~~
Legal Description: Lot ~ _ Block 2- _ Sub (iLVNw 19 /t;:,-I:::- tJ .
SiteAddress::lVOL/ V~j1 ~ ~ ,e2-
Building Permit # 9~ ././-7 i-- PID #_ 25- 3s-/- O(2A-tJ
NOTE: This permit will not be processed without complete information.
L Blue
2. Gold
3. Yellow
File
City
Applicant
PPNo. ~9-111Z--
.PhOne:;;/--;'- DY-410&
FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
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)
}
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
$~
$
$ ,3q. SV
$ .50
GRAND TOTAL
$ J./O.oC)
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbin 0 e a amel)dl~m~e thereof.
~Z-S-4- . 9/?~/99DATE
A ' ,
~_~ A TIEST
Call for a inspections 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