HomeMy WebLinkAboutPlumbing Permit #00-0533
DATE
CITY OF PRIOR LAKE ~ ).... '11-
lNSJSl:C"'ON NOTICE SCHEDULED ~
ADDRESS --1S1 bS \N CJt"(\ OvC.k"\ ra', \
TIME
4:00
OWNER
CONTR.
PHONE NO.
PERMIT NO.
00 - OS33
CI FOOTING
o FOUNDATION
o FRAMING
o INSULATION
CI FINAL
CI SITE INSPECTION
CI PLUMBING RI
o MECH RI
CI WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~~F
(~f~~
'tL WORK SATISFACTORY, PROCEED
fi' CORRECT ACTION AND PROCEED
o CORRECT WO CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
ne eo...,....- ~
AppUcant:
Address:
SIgnature:
Legal Oescrtptlon: Lot Block I
Site AddIvA:l5/~5' U}C)O ~7Y/. BYI'~ t l.U>G..h
Building Pennit ,.Cn) ~ :O:S"~ Lf PID. 6?
NOTE: ThaI permit wll not be PrJOBSsed without complete InfomIatton.
PlXTURE UNITS
CITY OF PRIOR LAKE
clb!!Nm~/&MMfroNING
60~n ~III liGAN WAY PhOne:
UI~NFTONKA. MN 55345
1. __ I'lk
1. 0cIl4 Or)'
J. y.-- .....
#~
q~~ -7~OO
Quantlly Type of FIxture au.ntity Type of Fbcture
Bath Tub with or without showw Rough-ins
OishWasher Water Heater
Floor Orain \ Water Softner
Lavatory (bathroom sink) ~ Plpe (washing machine)
/ laundry Tray (1 or 2 compartment link) Sewage Ejector
, . Shower StaJI BacIdIow A8ntIy (RPZ. 00dM QIICk. PVB)
l Sinks 8acIdIow AIHntJly Tese
\ Bar Sink Lawn Sprfnkler
I Water Closet (toilet) Other
FEE SCHEDULE
Industrial. Convnercial & M\JlU.Famlly
(1'" of Job cost. $39.50 minimum)
Residential. New One & Two Family
Restdential. AddItions &. Atterauons
State SWcharae
$99.50
- $39.50
$
$
s0Q.Ei)
S .50
JUN 2..8 21W
GRAND TOTAL
$ !:&.2.. D
l/
__ v.
16200 Eagle CreckAv. S.
~ dlo expreu CODditioQ daal uIc1
~. SbaU COIIlpI)' ill all tapCCI wilb dle Cll'diDIaoes
of 1M sc.. PllImbbII Code II1d die dIcnal.
rJ ~ NO. DATE
ATn!ST
Lake, Minnesota 553721 Ph. (612) 447-4230 I FAX (612) 447-4245
An Equal O~ty Employer
IIII Ii