HomeMy WebLinkAboutPlumbing Permit 00-0634
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DATE
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TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
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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 FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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I WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ""ORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: .y If J- J.,~...([} Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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CITY OF PRIOR LAKE t ~~L :ncant
PLUMBING PERMIT PPNo. 00 ;Oft;~
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Applicant: ~\\ch e\ \e, Ave\ d 50\_ Phone: q~'2- 4~ -, I SC1<6
A~dress:. \505'1 ~aJOOSA \ l' NF;: ..l
Signature., ). A --k\ J...eJ. ~ .. f
L~gal Description: Lot Block \ sUb~l e.:~?/l
Site Address: \ S{)S'1 ~alo()~ft-' r N ~ .
Building Permit # 00 -' 04\ ,:: PID # d. s- '34 J. -00'4-0
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
The Center of the L.ke Country
Quantity
Type of Fixture
Bath Tub with or without shower
Quantity
Type of Fixture
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Rough-ins
Water Heater
Sinks
Bar Sink
Water Closet (toilet)
v
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
$ 39.50
$
$
$ .50
GRAND TOTAL
$ ~ .Q!b
This permit is granted upon
contractor. shall co in
of the State Plumbi e
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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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