HomeMy WebLinkAboutPlumbing Permit #00-0551
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
TIME
SCHEDULED
~
~k?l
ADDRESS
/4l20 (!J()"(bJ/c:l Tr
OWNER
CONTR.
PHONE NO.
(x)-SSI
PERMIT NO.
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 EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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r/ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: (I,{7)--).,tg- {f7 Owner/Contr:
,
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH Ie SAFETYl
_OTl
1ft
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,Cllf,OF;~6J()f.l.,LAKE
t~.~M:~~~PERMIT
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1. Blue
2. Gold
3. Yellow
Pile
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AppIiCBDl
PPNo.
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Applicant:
Address:
Signature: V J-1J'\ ~
Legal Description: Lot S Block 3 Sub K N Oe 1-1/ L '-
Site Address: / 4~ 20 &t.J€C/Jf;!;O 7Je.. N6
Building Permit # un - SS"' I PID # 2..5 -310 - 025 - 0
NOTE: This permit will not be processed without complete information.
Phone:
FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
.~.~
Rough.ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ. Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
o
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
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
$ 31, 5U
$
$
$
.50
GRAND TOTAL
$ 4-0. 00
o
This pennit is granted upon the express condition that said
contractor, shall COmp,IY in, rpl re ts, with the ord,inances
of the State Plumb1Jil'ng/ C ,HOd e am,dments thereof.
37 e 3 ,- . 'N Ir / 7,dud DATE
ATIEST
Call for all i~'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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