HomeMy WebLinkAboutPlumbing 99-1067
CITY OF PF\".:]R LAKE
INSPECTION N0TICE
.
ADDRESS
OWNER
DATE TIME
S {).J
SCHEDULED /-'7
tvrl'/cJIf~ c T
CONTR.
PHONE NO.
PERMIT NO.
err- Itti
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
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
La c.cIVl
5~,lt,..?
(
1} WORK SATISFACTORY, PROCEED
b CORRECT ACTION AND PROCEED
o CORRECT WORK, ALL FOR REINSPECTION BEFORE COVERING
J - 7- ()? Owner/Contr:
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
i-
j/n
I. Blue
2, Gold
3. Yellow
File
City
Applicant
The Crnter of Ihe Lake COun11")'
Applicant:
Address:
Signature:
Legal Description: Lot /5' Block 3 Sub /1IIWr;:;eN~_\f rOiJ()5 ;at;
Site Address: ~'LL ~v1c1knl1C J- ~/S..D
Building Permit # CJ9 - /O&~ PID# 2S-s:s%-os<l--O
NOTE: This permit will not be processed Ithout complete information.
FIXTURE UNITS
PPNo. 9q-/o(; '7
Phone: l/c, 1fj4'/J;' 0
"
.
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 \/ 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
$
$
$ 39050
$ .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 d team dme s thereof,
3~03'L R , '8. 27 9"'- DATE
ATIEST
Call for all '
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372 / Ph (612) 447-98501 FAX (612) 447-4245
An Equal Opportunity Employer