HomeMy WebLinkAboutPlumbing Permit #00-0631
~ CITY. PRIOR LAKE
INSpeCTION NOTICE
SCHEDULED
DATE TIME
_ A-T
ADDRESS
/ en ~(o q ~j mpK1N-.
CONTR.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
PERMIT NO.
fiO- ~
o PLUMBING RI 0 EXIGRADIFILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAW.. 0 GASLINE AIR TST
o MECH FINAL. V ~^VVN
III' '- s> p c.., N l'L'6R
(I~j~
r
tv( WORK SATISFACTORY, PROCEED
r;; CORRECT ACTION AND PROCEED
o CORRECT WOR'7t:.LL FOR REINSPECTION BEFORE COVERING
Inspector: r /'1 ( Owner/Contr:
.
CALL 447-9850 FOR THE NEXT INSPJ:CTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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1. Blue FiIl"
CITY OF PRIOR LAKE 2, Gold_
3, Yellow'.licant
PLUMBING PERMIT PPNo. OO,,'f#3 (
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Legal Description: Lot b Block 5 Sub WcJ:. 16()/.e{,/ PdND5
Jk (1,1 J>;"',! i<~~ r 4~ d' w... r
Building Permit # () 0 ...IJ 10 ~ PID #
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
The Cenl., of Ihe Like Counlry
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)
Quantity
Type of Fixture
/
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
$ 3r.)--o
$
$
$ .50
GRAND TOTAL
$
-
q6~
This permit is granted upon the express condition that said
contractor, shall comply 'n all r spects with the ordinances
of the State Plumbing e amendments thereof.
.3!lZJ I~ O. 7- '2.-' -;:]'V 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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