HomeMy WebLinkAboutPlumbing 99-804
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
)."/-00
ADDRESS
35-';10 S~ bk W, /lilY
CONTR.
OWNER
PHONE NO.
PERMIT NO.
99 - 'io,-/
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:
~
XWORK 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
t/
CITY OF PRIOR LAKE
PLUMBINQ PERMIT PPNo. 99- ~o4---
Applicant: I3n -h ~jy/j~ , ,Ph'l!':'~ ~l';) - SJ' y:.~.or;
Address: ~ if /. q ~ 1M 11/ ff-fh) T!~. rr1 /II c.. ~ 1110-
Signature: k" rltV'4//bI-tI ,- '/'v "
Legal Description: Lot / _ J~lock ."2-.SUb C4'-Y/llffA-/ t;/2... Wr;rr
Site Address: .:sY:d~ ~M ~ aJ/t1 1111./. .
Building Permit # _PID # 25"<35/- 00 f -0
NOTE: This permit will not be processed without complete information.
1. Blue
2. Gold
3, Yellow
File
City
Applicant
Tho Confo' of lho toke Counlry
FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other ~ iJ~~
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
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
3tt:J.rO
$ r
$
$
$ .50
GRAND TOTAL
$ 4-O.-vV
Call for all i
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer