HomeMy WebLinkAboutPlumbing Permit #00-1057
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS /55"53 ~roob~
OWNER CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: wa+-er s o\-~ e{"'""
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UP-
DATE TIME
t~'{J.~OV 3~~o
/()57
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK' CALL FOR REINSPECTION BEFORE COVERING
Inspector: 15 .t..a>>-<l Owner/Contr:
CALL 447-9850 FOR JHE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
The Cenler of Ihe Like Counlry
..4 CITY OF PRIOR LAKE
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APPlicam:o_~"';~~~BINJ:~RMIT
Address: S)V d ()' e,jb{ l. PLf)1/, /lieJd
Signature: ;(6l.e-rJI ~IC'l",6/{)
Legal Description: Lot Block
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Site Address: ) c; S- ') J e'i cdJ.J(fj}..it., ~
Building Permit # PID #
NOTE: This permit will not be processed without complete information.
1. Blue File
2, Gold City
'3. Yellow Applicant
PP No.JX)-IO-S-7
Phone: (d J- ') :!JI ;; s- ) ~
/lr/1f I jll 11 I s:> V)- 1"
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Sub
FIXTURE UNITS
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with opwithout shower Rough-ins
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Dishwasher Water Heater
Floor Drain Water Softner
Lavatory (bathroom sink) Stand Pipe (washing machine)
Laundry Tray (1 or 2 compartment sink) Sewage Ejector
Shower Stall Backflow Assembly (RPZ, Double Check, PVB)
Sinks Backflow Assembly Test
Bar Sink Lawn SprinkleL
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Water Closet (toilet) Other ~
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FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1% of job cost, $39.50 minimum) $
Residential, New One & Two Family $99.50 $
Residential, Additions & Alterations $39.50 $ Cl 7/
:3 I, )
State Surcharge $ .50
(jO
GRAND TOTAL $ 4!(f
....
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This permit is granted upon the express condition that said
contractor, shall co ly in all respects, Wf;' 1: ordinances
of the Sta I b. Co e and the amen e ts thereof.
C PTNO.' 12 ?/ t6 DATE
, . "'! , ATIEST
Call for all inspection~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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