HomeMy WebLinkAboutPlumbing Permit 00-0643
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDYLED
DATE TIME
<<I o~/(J) fir
ADDRESS Jf){)'1 (J ~ I r().. I }
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 MECHFI~
COMMENTS:
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
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":4\WORK SATISFACTORY, PROCEED
( DV CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
In",octor. ~ ( OwnodContr.
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
JltL 26 (:;.
CITY OF PRIOR LAKE
PLUMBING PERMIT PPNo._ ("TO-Oh~3
Applicant: -A rJ fA w1. "'- vv'\ I r L k 1I i _ (b..e <' V, Phone: 9 S Z- -4 L../ 7 -0 , 0 Z
A~dress: (c;-{') 7r'J ()-//l~ocJ.! 0._ T r ,!J,. ',,- {aj[P ~S~I.. L
Slgnaturet A/l./1 ,-L~' I.. (>L 4 ~ (_
Legal Description: Lot --.3 Block ~ .. S.Ub~ '2 ~
Site Address: \ Tr<:JJ I AOON
Building Permit # PID # as:- ~~ t./Q - () 13-D
NOTE: This permit will not be processed without complete information.
1. Blue
2. Gold
3. Yellow
File
City
Applicanl
Tho Conl<< or lh. Lab Counlry
FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
/
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
Floor Drain
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
$
$
$ ;J!i.2>7J
$ .50
GRAND TOTAL
$ 40. vD
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
,~ e State Plumbing Code and the amirdmer/l;(.hereof.
..s' L RECEIPT NO. 7 ~~ ~ DATE
~ ~ I ATIEST
Cal for all inspections 24 hours in advance.
16200 Eagle Creek Av. S.E. rior Lake, MN 55372 / Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
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