HomeMy WebLinkAboutPlumbing Permit #00-0697
DATE TIME
~ Jus-
)Ll r-JS'.s- C~;.p ~ 0 tJ 7 ~
--' - --
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.IOR LAKE
tON NOTICE
SCHEDULED
~ODRESS
OWNER
PHONE NO.
CONTR.
PERMIT NOcP" Ca q q
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 EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FlNAr--
.~ ~M~ST
/' UEA1E12..
----...
~
J$ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InSpectoc~, Owne</Contr'
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
CITY OF PRIOR LAKE
1. Blue
2. Gold
3. Yellow
FIle
City
Applicant
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:L/~M~NGl!fMIT I Pp'~o. f'1O-0A.C(L
APPlicantf)r \. r(') ... . rnb thQ Phone: Lffc 9 - (p 99 '!
Address: J;? 'i / L.f 9 f.j (_ :H fJ I A .y ~
Signature: ~ J-if~
Legal Description: Lot Blocf' SUb~",-.J'
Site Address: / L}-j 55 ~ / e hd Q le_ fl-u e ~j7)..ocyj(/Y),)
Building Permit # no - 0 ~ q r"! PID # orD - k;>O ~ ()Y3 -D
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Th~ Crnler of thl' Lake Country
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...
..-..... ,
1'>\ 1
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)
)(
Rough-ins
Water Heater v"
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
. , ,
Other WaTer hea+e;--
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
$
$
$(,.~q.s?
$ .50
GRAND TOTAL
$1CJ, (J{)
16200 Eagle Creek Av.
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing and Ore mn"i~f
ro r eEl NO. ~ ATE
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'1 ,_ j" .I I ~ EST
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C 11 for all in spec ions 24 hours in advance.
rior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
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