HomeMy WebLinkAboutPlumbing Permit #00-0950
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS '3 30S- 6-J~\It'tAklfe-r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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COMMENTS:
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DATf TIME
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
rRK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT~RK, ~ALL FOR REINSPECTION BEFORE COVERING
Inspector: b "') (J).AJ) Owner/Contr:
CALL 447-9850 FOR TH~ NEXT INSPECTION 24 HOURS IN ADVANCE.
IIVSIVOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
CITY OF PRIOR LAKE
- PLUMBING FJ~R~1IT
Applicant: LPI A diLl; <~/UJ!vCh Phone:
Address: /; d-- ~lf +- ',N 101 iMC ,it.^-! /1! ftfI.IJJ /J
Signature: (0AN~Jij() ill ^
Legal Description: Lot 1 Block 3 Sub
Site Address: .1 ~ Os fl--~ ittt/Ur: 1/l()j] .
Building Permit # PID #,..)5- :S~l)- o/r;-o
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
The {'eonler of the l..ke Counlry
auantity
Type of Fixture
auantity
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
$ &q,;o
$
$
$
.50
GRAND TOTAL
$
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LIJ", v_
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 ~~of.
3<<(fb 3-9.. RECEIPT N~ l~- ;J.(,.,,-c...A...DATE
~1\(' ~ ATIEST
Call for all inspections 2~11~>ur~n 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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