HomeMy WebLinkAboutPlumbing Permit #00-0558
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CITY Of PRIOR LAKE
INSPECTION NOTICE
DATE nIlE
SCHEDU~D., ~~
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ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
0- 558
o PLUMBING RI 0 EXlGRADlFILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLINE AIR TST
o MECH FINAL 0
r'/Uw1lV'v'~
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ 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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Quantity
1. Blue
2. Gold
3. Yellow
File
City
Applicant
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: ~AA- ,..,~, B A-rl"/II..(I
Address: I ~ ("., () c t2..n r I'U.- J " " J ,?. L
Signature: ;:' ~ rS /1:..__ 0.
Legal Description: Lo~ II Block3 Sub Icru'1b It, ) I
Site Address: I '-I E-. n,~ /61 ~ I J. ~ e.cu oJ. N b
Building Permit # O() - ()S~ PID # S 5"' - :~ In - 0 31- I")
NOTE: This permit will not be processed without complete information.
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FIXTURE UNITS
Type of Fixture Quantity Type of Fixture
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Bath Tub with or without shower Rough-ins
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 j Backflow Assembly (RPZ, Double Check, PVS)
Sinks I Backflow Assembly Test
Bar Sink V- I Lawn Sprinkler
Water Closet (toilet) I Other
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FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1% of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$
$
$,~.FI, ro
$ .50
$99.50
$39.50
GRAND TOTAL
$~(J.
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing Code and the am". ~ thereo. f.
3"7.. NO. '1, o.-~ DA~
. -. ,ATTEST
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'or Lake, MN 55372/ Ph (612)447-9850 I FAX (612) 447-4245
(u1 Equal Opportunity Employer -
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