HomeMy WebLinkAboutPlumbing Permit #00-0836
DATE TIME
SCHEDULED 'ill/bd L//.$b
,
gllAlLb:J TL,
CITY OF PRIOR LAKE
INSPECTION NOTICE
.
ADDRESS
lo/d-S '7
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
II FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMME
~
8s!'
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~.
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORhtALL FOR REINSPECTION BEFORE COVERING
Inspector: Il7f I Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
Thf' Cf'nter of Ihf' Lakf' Country
CITY OF PRIOR LAKE
IPJ-UM~/~G PEJlM!T PPNo.
Applicant: /;011 ~/ln Au./'u~ 1\ J n. ~hone:l~i '):tf.
Address: h;a).-. ~LJJf~{ J4vt. . 1\/, /1{)tU/ ~ \"'; /A
v IZ. b( iJ. I' v 'k., ~ Ie
Signature: _ v ~('-<r~ W:"
Legal Description: Lot e BlOCk. 7 Sub KNo811/tA./ 2~
Site Address: I t./ )- f;;, ~ L~ 'P/lI111
Building Permit # {)fJ . 0 ~3~:i PID #-Z...S...339 - 063-0
NOTE: This permit will not be processed without complete information.
~
"
b
tJ;'V f/
4 ,<)~J!
FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Type of Fixture
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
(
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
Bath Tub with or without shower
Dishwasher
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
$
$
$
$ .50
$ L/t/-Od
$99.50
$39.50
This permit is granted upon the express condition that said
contractor, shall comply in all r peets with the ordinances
of the State Plumbin amendments thereof.
.~e4llf3L . Q./fJ.()() DATE
/ '/. ATTEST
Call for all /spections 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
'Ill"' T1