HomeMy WebLinkAboutPlumbing 03-1125
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
SOOD
IlMJ~~-<-
y
OWNER
CONTR.
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
COMMENTS:
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DATE TIME
Lo - 2 'f.-0'3
3-//LS
o EXIGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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./
~
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~r~FOR REINSPECTION BEFORE COVERING
Inspector: V I r Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
_OTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETYI
. ~~~... .~..~.. ~~ '-'~"T . ~ -......... ~~ .................. .~.. ....... ~ ................-..- ........-.....-....... . I
JY4IO, 00
C.nl.r of tho Lok. Counlry
CITY OF PRIOR LAKE
PLUMBING PERMIT #
Applicant: ~/L ,t-- ~e>rJ..s P/t/"'" 6ir1J Phone: 7c6'5'- ~z>-oz-9(5
Address: _3~ V-'h?ea:...v Lo....-h e.
Signature: - L-;.. ~
Legal Description: Lot ~ Block:t
Site Address:~OOO .P" '1 d.se.d-5'~
Building Permit #
NOTE: This permit will not be processed without complete information.
1. Blue File
2. Gold City
3. Yellow Applicant
tJ a--11J.5
SUb~V ~
PID # ~S- 3'1q-OIJ..~O
FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Checkt~
Backflow Assembly Test
Lawn Sprinkler
Other
Dishwasher
Water Closet (toilet)
FEE SCHEDULE
1/a....C-.v v rI'1. 1, t-etO(....-J;:: e r-
57 5 1- e.",\
.J-:o :- ,'t-r- t~<:1--t-,b'-'
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
$ .?1,~O
$
$
$
.50
GRAND TOTAL
$ LlOr 00
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
o~ ttIe State P~bing Code and the awn~~~ th,ef1of.
1/533..:) RECEIPT NO. J /' ~!:J' O...:aATE
qy- ~ - ATIEST
Call fO~ll inspections 24 hours in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
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