HomeMy WebLinkAboutPlumbing Permit 99-1129
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/7J~d. 1'~~ s.t
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
COMMENTS:
'W~ 5~
DATE TIME
:l~I-OO
1'1 - lId 'I
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~~
~~~
'1r- {.O ~
')( 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.
INSl'IOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
The eenler of Ihr Lakr Counlry
CITY OF PRIOR LAKE ~~ ~;L ~~~licant
PLUMBING PERMIT PPNo. 190///29
Applicant: r r rl-, 'f'" G PIl-tlA, 6/~ Phone: ?El.( ~ % Lf
Address: 7 J s;lL:t 'JiGt2. 5;'.
Signature: ~__ --__ -
Legal Description: Lot / Block I Sub f"V6 0':) 12-1 D03 J'C-0
Site Address: J );Li'J- Torn~'V fC/ }1v~' ,<:; r t.....,
Building Permit # 0; c;'- / / 29 PID # ?- $""' - 317 - no I - 0
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
ouantity Type of Fixture ouantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain X Water Softner
Lavatory (bathroom sink) I Stand Pipe (washing machine)
Laundry Tray (1 or 2 compartment sink) Sewage Ejector
Shower Stall Backflow Assembly (RPZ, Double Check, PVB)
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (toilet) 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
$
$
$ 31.5D
$ .50
GRAND TOTAL
$ 10,00
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing the a~~dmlnts thereof.
3iO 7.-0 () R NO. ti//sff.J DATE
I I
ATTEST
Call for all in ections 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