HomeMy WebLinkAboutPlumbing 99-0763
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
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Lvy)fdJto.t ~r
CONTR.
OWNER
PHONE NO,
PERMIT NO.
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
DATE TIME
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flq-7G S
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: V ~ - }fJ-O> Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
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Applicant:
Address:
1. Blue
2. Gold
3. Yellow
File
City
Applicant
Signature:
Legal Description: Lot J 7 Block-3
Site Address: S,/ (p t) WYV\d ~ Ql/'(j ('+
Building Permit # qq - "7~3 PID # 25 - 33~ - ~.3r;, - ()
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Sub !Iv II 1Jt;p /!If Sf j./ (111) LX; 2
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 V 8ackfl~~m~ (RP~ Double Chec,KPV8p
,p: ~) N P/,?//VK/,c
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
$
$
$ ::;9 ~-v
,
$ .50
$ </ {> ,C/U
GRAND TOTAL
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 amendments thereof.
?"':;')SGc RE. .~~n;~ II 8/91 DATE
~/ 1/~ , ATTEST
-
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Call for alHnspections 24 hours in advance.
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16200 Eagle Creek Av. S.E. Prior Lake, MN 55372 / Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
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