HomeMy WebLinkAboutPlumbing Permit #00-0834
ADDRESS
3()y/
DATE TIME
SCHEDULED 7! M tJ-e A, T.
.-
K /Jet. L-- elOGE DR..
CONTR.
PERMIT NO. 0'- ?3~
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
PHONE NO.
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINA~
o SITE INSPECTION'
o EXC/GRAD/FILLING
o LKSHORE~ETLAND
o COMPLAINT
o SEPTIC FINAL
~ 0 FIREPLACE
(b~-~,v sl',e-rf\)(.LI.-&-
COMMENTS:
ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CAL R REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: A.. e () " 4-ch .
Address: ~j) p,
("_
Legal Description: Lot 2- Block I
Site Address: 30 VI A' ""U/W a.~ "':..
Building Permit # at). 0 PID # 7~-3"O- OD2-0
NOTE: This permit will not be processed without complete information.
Signature:
Phone:
.".,~
:/H'
The eeRier or the lakr Counlry
Sub
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 Backffow Assembly Test
Bar Sink 7 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
GRAND TOTAL
$
$
$ 3 r. r<l
$ .50
$ Lib 1)6____
$99.50
$39.50
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing Code and the amendments thereof.
0068?2.Pc;;;: '1"'S"-a.oOA'%~
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
TIi'.' II