HomeMy WebLinkAboutPlumbing Permit #00-1004
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
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SCHEDulED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
0-1004-
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 FINA
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o qApLl~E AIR TST
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COMMENTS:
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE
Applicant' rf';l'!J~N~/T
Address: ~-/V)- (~f\jLNf ytue.. Al,
Signature: .Ii ~.K....l MUA
Legal Description: Lot u. ,j I. B)~ck.
Site Address: ) S1l1l ~f().J)j) Lvvt .
PPNo.
I Phone:-k I...) S-:]
11 w!kioL
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The Ceonll'r of the L.ke Country
Sub
Building Permit # PID #--.25 -0'7&,., ~ 04--0
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NOTE: This permit will not be processed without complete information.
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
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
GRAND TOTAL
$
$
$
$ .50
$ 4V),6
,
$99.50
$39.50
This permit is granted upon the express condition that said
contractor, shall com y' all spects with the ordinances
of the State Plumbin the amendments thereof.
3t3t,e3 o. 1/2700 DATE
ATIEST
Call for all in 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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