HomeMy WebLinkAboutPlumbing Permit #00-0675
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS '3o~ ~th...:~
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
B-2~'03
O{)-G-7~
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
A L"",,,," CS!t>>l~
./
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO , CALL FOR REINSPECTION BEFORE COVERING
Inspector: _
Owner/Contr:
CALL' 7-9 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETY!
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CITY OF PRIOR LAKE
PLUMBING PERMIT PPNo, DD,~15'
Applicant LelJ'1 tJo~da _.h~.J'o<<: 1"1c. Phone:'..r;;t?..?.7 56Y~
Address: OUJ"-~ /7 ft .~~,./t..... ~(f~""';
iSignature: ~ ~.. V--~J)._-
r'\jLegal Description: Lot 3 Block I Sub NCJ'1\---hwood Onh
'Site Address: .~OSS Kf\y)1 \. ~ d ~o, On v--€-. u~ '\~\- AODN
Building Permit # DC) - () ~~ 7 PID # blS- 3{'{) - Cy) :3-0
.-!/ NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
1. Blue
2, Gold
3. Yellow
File
City
Applicant
Th. C.nl.. of Ih. Lak. Counlry
III 1l
Ouantity
Type of Fixture
Ouantity
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
Water Closet (toilet)
(Jt/,(1 -- I
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
Dishwasher
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
$
$
$ ~1~.S6
$ .50
GRAND TOTAL
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$-7~:,a
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,
3..%JJ ,~ or RECEI 0, >f16J!:f...~TE
- { ;tOA/J 4' # ST
cae all inspectio ~4 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
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