HomeMy WebLinkAboutPlumbing Permit #00-0696
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
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A.T,
ADDRESS
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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:
~o. o(P9'
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
j(d GASLlNE AIR TST
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V WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~LL FOR REINSPECTION BEFORE COVERING
Inspector: t: ~ , Owner/Contr:
/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
I II Iii
The eenler or Ihe L.kr Counlry
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: L/S4 M130lN Phone:
Address: 1f5:?f.o 11/(//1'1.. 'M/jl/tf;8/,eLJ 7)?A/L--
Signature: 2r~ .Y1
Legal Description: Lot /1 Block 3 Sub KNOI1 Itl.i.J-r 3/2C)
Site Address: 4SU F-Ivnrl /NC?l6I.e:.o /K.AI t:-
Building Permit # PID # 25 -344- () Zfd - 0
NOTE: This permit will not be processed without complete information.
I. Blue
2, Gold
3. Yellow
File
City
Applicant
PP No. ()O . (J(Pq(p
q C; 0- ;J -"'J:2, -S J ~ 7
FIXTURE UNITS
Quantity
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)
v
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
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
$ _59.50
$
$
$ .50
GRAND TOTAL
$4:0.00
Call for all .
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This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbin ' nd the amendments thereof.
.;sfP/)fi!f? ~. ~. q.OO DATE
,A/l __ A TrEST
~
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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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