HomeMy WebLinkAboutPlumbing Permit #00-0595
CITY OF PRiOR LAKE
INS~CTION NOTICE
SCHEDULED
DATE TIME
/-f
ADDRESS
4S"3S- /+tJ~mJ;j b,....J 1 r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDA nON
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
COMMENTS:
U.W/11
$t?",,,/l/-e.~
(() fCl1s f-t.t // (lg"v-filJt1/
OVl ~;/Icod(, D"-itlV/ .
0{)-as-9r
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
,p/'t"(.I~ I-c.,-
""co J f'="7
c~ _(..". ~o/-'"r.lifil"'" I~
Nf.~i;~':t!.",'#!' ,<J,. ,.Ie . .. ~.,.,
~ y (1 v ~> /-'0.-. . S c.~tI J 4'17 - fY.r::<.
o WORK SATISFACTORY, PROCEED
, CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ {- ~""c9 >Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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The Ctnler of Ihr Lake Counlry
CII V OF PRIOR LAKE
PLUMBING PERMIT
Applicant: -k ",d ;-kJ _PIt( rY7bYl P'J
Address: ~~,} If o( ,);r?<. -II":
Signature: jjj/ ~I /Jz
Legal Description: Lot (P Block 2- Sub K.N 08 #Iu-' 3..-0
Site Address: c.rS35"" l-l-ut?1il1!"1 .,!;,'I"J TI".
Building Permit # ()(J .0595 PID # 25, 34.o) - 012,..-0
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
t
PPNo. 0 51S-
Phone:f,/7-Cf6q..jpo cl
'-~ I::.e V 1u...t5'
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)
l
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
$ 39.!;V
$
$
$ .50
GRAND TOTAL $ 4-0. 0 ()
This permit is granted upon the express condition that said
contractor, shaH comply in pects with the ordinances
of the State Plumbin t e amendments thereof. I',
~ I&~ . ~;:j'a..lLDATE
ATIEST
Call for all in ections 24 hours in advance.
I
!
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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