HomeMy WebLinkAboutPlumbing Permit #00-0765
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DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/-~
ADDRESS
4'7'10 COQf .),l?JfJ,,? L.a"'~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
0(.J9(; .r
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:
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S;~"'J"1~/~-
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1. WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE7YJCW RK II FOR REINSPECTlON BEFORE COVERING
. 1;,}{ ~t!7
Inspector: p" Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
.'
The C'enler of Ihe Lake Counlry
CITY OF PRIOR LAKE
APPllcant~r::::~MIT
: IJ-M-O eOACHl1l1N t.1l1v'e;"
Signature: Cr-;;;-L1.1. 2{L/~A ~
cr~on: Lot 4- Blord / Sub~/A6E" HIUw<:'
Site Address: #4-0 ~A(!HHAAI LANb Ne:- "A21 47H
Building Permit # PID #. 2.5-~/4--- 004-- a....-
NOTE: This permit will not be processed without complete information.
1. Blue
2. Gold
3. Yellow
File
City
Applicant
PP No. E:>> "l~S-
Phone: q f)a-#5#""9' Cfc::,
Ne-
FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Type of Fixture
Floor Drain
Rough-ins
Water Heater
Water Softner
Bath Tub with or without shower
Dishwasher
Bar Sink
Water Closet (toilet)
)(
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
$ 3Q.50
$
$
$ .50
GRAND TOTAL
$~.OO
This permit is granted upon the express condition that said
,o""~lo'. ,h,1I comply i '" =p<c" w~ "'{ii='"
of the State Plumbin e 1 nd the amend ent hereof.
38z-)(p ::om. B Z GoDATE
{l I ~ I ATTEST
Call for all inspections 24 hours 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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