HomeMy WebLinkAboutPlumbing 99-1196
CITY ,{IOR LAKE
INSF-. . .ON NOTICE
DATE TIME
SCHEDULED
I 0 -1-'fJ !():o CJ
ADDRESS
II.oSSi{
WI LOE:nJJGS S Te...L
OWNER
CONTR.
91- / /tj/p
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL ~ 0 GASLlNE AIR TST
o MECH FINAL (J::s:J ~ ~ 'SPR-/,.J~7<.
COMMENTS:
~-r~
r4--
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO K, CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
------~_..__~__.__..._,._,._,_._~__~.~~__....__.._......__..u_"_~'.___"___~_"'. ,. ___ _. ".__"_~"
CITY OF PRIOR LAKE
PLUMBING PERMIT
II
l.-v:
1. Blue
2. Gold
3. Yellow
File
City
Applicant
The Center or the L.kt Country
Applicant:
Address:
Signature:
Legal Description:
Site Address:
Building Permit # 9C/-//9(P PID# 25-3/8- O~-t)
NOTE: This permit will not be processed without complete information.
2-
Sub /tV1'-OEJeNGSS Pol\Jf;)J
FIXTURE UNITS
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
Lavatory (bathroom sink) 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 V 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
$
$
$ 3Q.5O
$ .50
GRAND TOTAL
$ 40. 00
~ DATE
ATTEST
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer