HomeMy WebLinkAboutPlumbing Permit #00-0642
DATE TIME
CITY OF PRIOR LAKE 7.!Z7!tJtJ A.';\ ;
INSPECTION NOTICE SCHEDULED
ADDRESS /~9 7'-/ ~ S,A I c AVE.
OWNER CONTR.
PHONE NO. PERMIT NO. 0- O&L.(?-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL /i\\ 0 GASLINE AIR TST
o MECH FINAL ~)l lAMJr-J SPl4foJ~
StDe f:>~ <:CR.-N~
COMMENTS: L\.:!..t"'"\
I j,lIi,I,III.' I
1111 I "I
'Jil!1WORK SATISFACTORY, PROCEED
(0 . CORRECT ACTION AND PROCEED
:,::CT ~ICALL FOR REINS:~:/::FORE COVERING
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
'I II II
CITY OF PRIOR LAKE
PLUMBING P RMIT PPNo. 0 0-0 h4~ _
APPlicant:(1;~ fj2, _ Phone:~<'- 7~?""3C/~~
Address: .c7UJ.f.? (~-. ~7J' rg.v '~A.l. Cl)
Signalure: (/..A.~f;:L~~
Legal Description: L ma..A- A Block-RLs$13.-Sub
Site Address: \ UG.'14 t.s. tn..J..e.,. Av ef'\lj fff:..,
M ~ 6 ~ PID # 0lS"-!3D oJ cOI-a
1. Blue
2, Gold
3, Yellow
File
City
Applicant
The Center of the L.ke Coun'r)'
Building Permit #
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Ouantity
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler /J~ IS~ ~_~
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,Sl>
$ .50
GRAND TOTAL
$ 'lOr 00_
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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