HomeMy WebLinkAboutPlumbing Permit #00-0736
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DATE TIME
CITY OF PRIOR LAKE c;:.....' J J V Jril
INSPECTION NOTICE SCHEDULED ~
ADDRESS ::Z;33';5 C;,~ UJ...-k...r
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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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
-A-XA~~N0AIR TST
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FOR REINSPECTION BEFORE COVERING
Owner/Contr:
Inspector"
CA L 447-9850h:OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
coAe REQUlJMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
\J INSNOTI
The' Ce'nle'r or Ihe' Lake Counlry
CITY OF PRIOR LAKE i' ~~L ~:licant
PLUMBING ~R!",'T PPNo. ~O. 07.3~
Applicant: is () b .~wbk ~ Phone:M...:l .~ Sl/In ~:2 ~
Address: ~J.l.iL Q uU-Bf fhM Yl/~ rJ;w ,titrJ .rfrZl2~
Signature: ~4'-k 4AJ I
Legal Description: Lot i 5 - Block 3 Sub t1LyNJAltlt.t:;t<?.... zcJ2
Site Address: :13 '< ,cr- ~~.'f"'/l,
Building Permit # - 00. ~/)"13h' PID# Z5"...c3f05.()3/-0
NOTE: This permit will not be proc~s'ed without complete information.
FIXTURE UNITS
Ouantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Ouantity
Type of Fixture
Rough-ins
Water Heater
Water Softner
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Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
Sinks
Bar Sink
Water Closet (toilet)
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
$ 3f/.50
$
$
$ .50
GRAND TOTAL
$ 4<J.OO
This permit is granted upon the express condition that said
contractor, shall comply in all res cts with the ordinances
of the State Plumbing amendments thereof.
3e "2.1 0 ' -&LJ3 .()O DATE
ATIEST
Call for all i
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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