HomeMy WebLinkAboutPlumbing Permit #00-1016
ADDRESS
1.52/9
DATE TIME
SCHEDULIjD ~ L<1/0 I ~ : 00
j;:;4f If!- e A-Ni<s- 72 ,
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
() - JtJ/~
o FOOTING
o FOUNDATION@
o FRAMING
o INSULATION
'tJ.t FINAL
o SITE INSPECTION
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 GASLINE AIR TST
o
COMMENTS: H~ II
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ (
j
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: ,A/t;r</!2.t-D1rl fLJ I1'lhI J.k;
Address: 2...105 6~/61..-D ~ c-~
Signature: (;;// ~~
Legal DescriPti?rft(;t 2. Block SubJ1A1',,~ P<<::-St!O~
Site Address: <' . /5 Z-/q FlUte. 8AN~~ "H!-
Building Permit # PID #.2 S - 03(" - 0 0 z. -.0
NOTE: This permit will not be processed without complete information.
FHe
Phone:
. ( n IlL
2..7-~0:33
Th. C.nl., ~r Ih. Lak. Counl"
NORRIS, TED
15219 FAIRBANKS TRAIL N.E.
PRIOR LAKE, MN 55372
(952) 440-5816
FIXTURE UNITS
quantity
Type of Fixture
Quantity
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
$
$
$ ,31..50
$ .50
GRAND TOTAL
$ !/fJ_CD
This pennit is granted upon the express condition that said
contractor, shall comply iOn all respects with the ordinances
of the State Plumbing ode and the amendments thereof.
.3'0 ft..a9) R '0. JJ:...:M. 0 0 DATE
~ ATrEST
Call for all in ections 24 hours in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer