HomeMy WebLinkAboutPlumbing 99-0675
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
SCHEDULED
S//3 WY11d1t4~ G7
CONTR.
PERMIT NO.
PHONE NO.
DATE TIME
1-7
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
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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~WORK SATISFACTORY. PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WOR CALL FOR REINSPECTION BEFORE COVERING
Inspector:
1-7-D ~
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSJiOrJ
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eonler or lho Lob Counlry
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CITY OF PRIOR LAKE
PLUMBING PERMIT PPNo. ?1-~7S-
Applicant: Ac...<.,fe~~d ~\V(,vvJojV.J~pctiV- Phone: ~9W If
Address: ~,tt'I.we L<(~df
Signature: ~
Legal Description: Lot 2-1 Block 3 Sub WfLD6'1?Jv6S..r PoNDS ZtiP
Site Address: ;J1. 0-11 '3 '^'1'""d hulN\ c t s.e
Building Permit # 9t? -(,7S-- PID # .2.S-33e - 64tJ-O
NOTE: This permit will not be processed without complete information.
1. Blue
2. Gold
3. Yellow
File
City
Applicant
tr1
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 ?< 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
$ 3~ 50
$
$
$ .50
GRAND TOTAL
$ 46.00
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 amendftnts thereof.
353'10 ~o. ~/3/tfq DATE
. ATTEST
Call for all inspections 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