HomeMy WebLinkAboutPlumbing Permit #00-1005
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/5571
SCHEDULED ~.()O
bgnoV" ~IDb
AT.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
Q - I O()~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI 0 EXIGRAD/FILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP (p) 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 1-#) ~.
COMMENTS:
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J WORK SATISFACTORY. PROCEED
J 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!
INSNOTl
The Cenler of the Like Country
CITY OF PRIOR LAKE
PLUMBING PERMIT PPNo.
Applicant: IS B b S~ ~ , Phone: U/J,S'J.
Address: ('), L/)- a~ ~rv'- NW //-rt1--e I ma
Signature: ~/U ()JI..AJ v
Legal Description: Lot . Block
Site Address: ) 1t; I J ~ rt1/tilt df Lm I
, .
Building Permit # PID # ZS"-1'f3-0Sb. 0
NOTE: This permit will not be processed without complete information.
1. Blue
2. Gold
3. Yellow
Sub
FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
Rough-ins
Water Heater
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
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
GRAND TOTAL
$
$
$
$ .50
$ Yo t!!
$99.50
$39.50
This permit is gran~e pon the express condition that said
contractor. shaH co fl' all e ects. with the ordinances
of the State Plumbi _ (} e amendments thereof.
3'IJf#',3 I: . .-if '1.:pf1JL DATE
J .... ATIEST
Call for all in~: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
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