HomeMy WebLinkAboutPlumbing 99-395
CITY OF PRlgR LAKE
INSPECTION NOTICE
ADDRESS
ICo ~I
OWNER
PHONE NO.
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
DATE TIME
SCHEDULED
~-J-99
/o:~
VI~dA.. ~
CONTR. ~Pl~ \
PERMITN{ 9t-39~ )
A ~UMBING RI f""~ --0 EXC/G~LING
o MECHANICAL 0 LKSHOREIWETLAND
o WATER HOOKUP 0 COMPLAINT
o SEWER HOOKUP 0 SEPTIC FINAL
o SEPTIC INSTALL 0 FIREPLACE
o PLUMBING FINAL 0
o SITE INSPECTION
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REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 17-4231, FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE RVMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
PLUMBING PERMIT
APPlicant:S~ J)G-Mu~e
Address: I~ IV;~t+ LtU[ve S..I,
Signature: ~~ ~~
Legal Description: . t I Block 4-
Site Address: I (P3bJ VI t:.-:1brl..Ut ~G s&
Building Permit # CJt:l.... 39C:;- PID # 25....33S-.. 0.3<0 - 0
NOTE: This permit will not be processed without complete information.
1. Blue
2. Gold
3. Yellow
File
City
Applicant
# qC/ ,- 3QS-
Phone/~/z.) :Z1-~ -~2~1
Tho Coni., of the L.b Counlry
Sub C.A:IeOl N fie '-- ~ oSt€'" ~
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
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
$
$
$ 3t7.~
$ .50
GRAND TOTAL
$ 40.00
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing Code and the ami,dmlnts thereof.
35D5~ .A?ffIPTNO. 4-, G\ q'l DATE
r.... - ATI'EST
Call for all inspections 24 hours in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer