HomeMy WebLinkAboutPlumbing Permit #00-0722
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DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
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SCHEDULED
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OWNER
CONTR.
PHONE NO.
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PERMIT NO.
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 FI(@NDGASLlNEAlR.TST
o MECH FINAL X l- AWN
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COMMENTS:
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""WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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Inspector:
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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CITY OF PRIOR LAKE
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PLUMBING PERMIT PPNo. tiU-07~(}
APPlicant:k~"7 .(2.......1 c- ~(~~, ~o::.. Phone: ?~~ 7' .Y35b :rr;;
Address: ~t!)'i /7 ~<<~M1c/~ .~ ,,~ A J y 7
Signature: ..-:7~ ~,cJ~
Legal Descr~on: Lot S" Block,~ Sub~ 0QJ {.2.1d~
Site Address: SCtLl) C rn.s.~ t(l ~~ D .j- 3 rC{ t\ODN
Building Permit # QD -D ( d. d PI!) # as--3i (,- 63 \-Q
NOTE: This permit will not be processed without complete information.
L Blue
2. Gold
3. Yellow
File
City
Applicant
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Tho Con tor of tho Loko Counlry
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FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Bar Sink
Water Closet (toilet)
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Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
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
$
$
$ 3Cf. sn
$ .50
GRAND TOTAL
$ 'f()J}O
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing Cod j the ame dme ts thereof.
~ Ql3 REC PTtO. , DATE
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cf: r all inspeclio s 24 hoors 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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