HomeMy WebLinkAboutPlumbing Permit #00-0723
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
k~
tY (/-( br/d 1r
SCHEDULED
ADDRESS
/l.f~C3
;;
OWNER
CONTR.
PHONE NO.
PERMIT NO.
co- 7)..]
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
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
Luw~
V" /VlIL/~_
cl OSC-
r,'~
r;(WORK SATISFACTORY, PROCEED
d CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: f1.j1 )..;')...B'~ Owner/Contr:
f
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSlIOTI
"
CITY OF PRIOR LAKE
PLUMBING PERMIT PPNo. QQ. 0723
Applicant:l:{ltrflIn S+vv ~ ~ Phone: qp2.- 4C1 ~ - )"51-1,
Address: / ~~fo 3 l3t.tJ681,eL) 77<....
Signature: ~ ~ ~
Legal Description: Lot 3 Block 4- Sub KNOB HI f."I-
Site Address: /~"1I?3 &'~U6g/,eL)~. ,e/SO
Building Permit # (JO.0723 PID# 7~-.310.D.3ll 0
NOTE: This permit will not be processed without complete information.
1. Blue
2. Gold
3, Yellow
File
City
Applicant
The Center of the Lake Country
FIXTURE UNITS
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
Lavatory (bathroom sink) Stand Pipe (washing machine)
Laundry Tray (1 or 2 compartment sink) Sewage Ejector
Shower Stall Backflow Assembly (RPZ, Double Check, PVB)
Sinks Backflow Assembly Test
Bar Sink "- Lawn Sprinkler
Water Closet (toilet) 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
$ 3q.50
$
$
$ .50
GRAND TOTAL
$ 40.00
This permit is granted u
contractor, shall compl
of the State Plumbing
3f32/4- R
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850 I FAX (612) 447-4245
An Equal Opportunity Employer