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HomeMy WebLinkAboutPlumbing 99-0757 CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME SCHEDULED I - f....~ ~ If) ADDRESS J 5':1 /') I .. " LU~~ ,~k OWNER CONTR. PHONE NO. PERMIT NO. Cf1:t 5'7 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 ~~~~E AIR TST, , , K k S'~~ COMMENTS: ~. \) w;..C'{ 1 \~P~ ~\~~.\0 j--' ~- t...."',/ K' U; I! p~ t (.-/ .: - O~ r /~ ~ ~.rLt. ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED 5< CORRE~rrrvRK. CAll FOR RElNSPECTlON BEFORE COVERING Inspector: l jI f Owner/Contr: CALL~~~O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. /----- CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSJVOTI CITY OF PRIOR LAKE PLUMBING PERMIT Applicant: /(..LA M ~ 11 Ec.tiAN I (l.&l, Address: {2 4-0q (' :TV RO =#- ( I . t 1. Blue 2. Gold 3. Yellow p File ~ City Applicant Th, C'nlor of Ih, Lib Counlry PPNo. Phone: (012' 6'10' 4%~ "B' \J (Glib QQ-707 Signature: Legal Description: Lot 2- Block Z. Sub \N I LDS Z ND Site Address: 1'J2.0 I WOOD DUCK- IK. Building Permit # qq- 757 PID# 25- 323-023-0 NOTE: This permit will not be processed without complete information. 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 Dishwasher Floor Drain Lavatory (bathroom sink) Laundry Tray (1 or 2 compartment sink) Shower Stall Sinks Bar Sink Water Closet (toilet) 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. 50 $ .50 GRAND TOTAL $4-0.00 This permit is granted upon the express condition that said contractor, shall comply in all respects with the ordinances ~~~~?mbi;~~~~J~';er~~~ .~~~ . ATTEST Call for all i~e~tions 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