HomeMy WebLinkAboutPlumbing Permit #00-0885
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CITY OF PSlIOR LAKE
INS~~CTION NOTICE
SCHEDULED
ADDRESS
33.33
GL I.'f NWA-( t=,~
J
CONTR.
~/\-
~
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING @
o INSULA nON
~ FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: '~Nre7L So <rtNe;
.
.~~
DATE TIME
/tJ!O:;-/OtJ A, T,
-;
0- 855
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: - -q ( Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
Ce-nle-r of Ihe- L.ke Counery
CITY OF PRIOR LAKE ~. ~~:~w ~~~licant
Applicant: l!J'!!J!'}!!J %Z:#4 Phone~~~f~ ~;g~
Address: r: ~ V:J (~0 "Ate IH~ /1/ Iltw ~ / /11 M C;~Z; l(;2 t
Signature: l'Gvf--e0U n, J,-J/"-. _
Legal DescriPti~n:.LO!. 14., . BI~. <,':\ SUbat LJ/!Il.Utt:t:lV d- M:i
Site Address: ~ S,3.?:' (~;/Y)h'l&ft / /laU !T7l
Building Permit # (j PID #~5 -'3(...S...... 030-()
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Ouantity
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
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
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
$ ~ q,!3D
$
$
$ .50
$ yo- 01/
$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.
,~ct5Y 8'1> _ RECEIPT NO. 10 -Y-OO DATE
f /fUL1A.~ ATIEST
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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