HomeMy WebLinkAboutPlumbing Permit #00-0919
CITY OF PRIOR LAKE
INSPEC.:rION NOTICE
ADDRESS
.3'5//
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING @
o INSULATION
~ FINAL
o SITE INSPECTION
SCHEDULED
DATE TIME
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A ( ,..,
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CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: tJ~~
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
h
,
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
The Center of the I..lke Country
CITY OF PRIOR LAKE
,PLJJMI1ING PEI:JMIT
Applicant: A~rJJv!; 4~tr!..-f.l:J
Address: S;;- V'J- fJ VlJt.LPA . /i-t) /1/
Signature:i:!rleif~d;;~~
Legal DescriPtio~: Lot " ~ ' Block ~
Site Address: J~ /1 (} ......~ wriZ r /laA ;J
Building Perrnit # YJO . () 9/ q PID # -Z ~ ... 3G? S - ()ZO ... 0
NOTE: This perrnit will not be processed wi!hout cornplete information.
FIXTURE UNITS
PPNo.
Phone: C, I J.
.~c/ ~f-A
Sub
Quantity
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 cornpartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
l
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing rnachine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assernbly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Cornrnercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Farnily
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$
$
$ .50
I
$ t;lf~
GRAND TOTAL
This permit is granted upon the express condition that said
contractor, shall com n all respects with the ordinances
of the State Plumbin a he a~~dm!nts thereof.
3efuo ( . D 3 o() DATE
ATIEST
Call for all ins ctions 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