HomeMy WebLinkAboutPlumbing Permit #00-1000
ADDRESS
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TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL ~
'-1;i4>LUMBING FINAL &
/0 SITE INSPECTION
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o EXC/GRAD/FILLING
o LKSHORENVETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
COMMENTS:
/ I
~ORK SATISFACTORY PR CEED
o CORRECT ACTIO A P CEED
Inspector:
Owner/Contr:
I
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
Th. C.nl.. of Ih. Lab Country
APPlicant:~.. "7~r~
Address: 1>o..f~t __ -=:1>c"
Signature: 'q .
Legal Description: Lot Block Sub
Site Address:~/4 r;;JI# ~~1';:' , ..c--.;;:' "L:Jl:::- JI1ftJ IV A1I~.
Building Permit # PID # U' 00 0 I · 0 0 ~ C)
NOTE: This permit will not be processed without complete information.
Phone:
CITY OF PRIOR LAKE
PLUMBING PERMIT
FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
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Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1% of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$ 39.5V
,
$99.50
$39.50
$
$
$
.50
GRAND TOTAL
$4-a.oD
This permit is granted upon the express condition that said
contractor, shall comply in all re ects with the ordinances
of the State Plumbin th amendments thereof.
~I V 1). ZO . OJ) DATE
.
A TIEST
Call for all i ections 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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