HomeMy WebLinkAboutPlumbing Permit #00-0920
CITY OF PRIOR LAKE
INSPECTION NOTICE
.. ADDRESS
33/3
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION 1/1)
~ FINAL v:f/
o SITE INSPECTION
DATE TIME
SCHEDULED I ~ (p / IJ-O
~t f./ A-U-Jd-BYL
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CONTR.
A,t-
PERMIT NO.
~ ,.-. 7 ij)
,
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: kJ)...'1e:-J"L
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ft:,., ",-',...' ".
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~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
~,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
n :'1
INSNOTI
The ('eRler or Ihe take COURlry
CITY OF PRIOR LAKE
PLUMBING PERMIT PPNo.
Applicant:_ &-Id~( _4r(('j, Phone: U( 2. 5"-
Address:'?..) V"J- gv..l;/ftf 4c~ /1(, ~u!l4r~ f}1/1
Signature: /flp/fcJ~.d"--81
Legal Description: Lot 5" Block _.3 Sub
Site Address: <<J. 7, (;J.I;VJ,id~ I/z ()Jj
Building Permit i (/ of). ~ PID # 25-3(.,5 ~ 0 z.1- C>
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Ouantity
Type of Fixture
Ouantity
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
$99.50
$39.50
$
$
$
$ .50
$ t/ Cl /rli:.-
,
GRAND TOTAL
This permit is granted upon the express condition that said
contractor, shall com I ' all respects with the ordinances
of the State Plumbin he a~~~nts thereof.
:3~E?OI . I I nO DATE
A TIEST
Call for all i
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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