HomeMy WebLinkAboutPlumbing Permit #00-0531
~, ^ cl'r~ OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
I b 12.8
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
~o..cu.~
DATf;
SCHEDULED ~~~Jtr
Gro~ ~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL A
o MECH FINAL
~
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(iJ ~ ~.,
TIME
11:3.:>
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o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
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~O~r1S CTORY, PROCEED
~RE ~YACT N AND PROCEED
o CORRiE: ~ R, C LL FOR REINSPECTION BEFORE COVERING
Inspector: \ . Owner/Contr:
CA L 44;;8~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: D~.1 ?~ Phone:
Address: \ ~ \ ~ ~ ~~~ Q l"Dll-fl C A -r( l 0_
Signature:~", ...
Legal Description: Lot a Block I, Sub ~ Y\.Q,A ~~
Site Address: \ " l ql( U O~.^aJ.IO U f'C.l.L.., \ ~ ~
Building Permit # l'Jo - D6,~ I - PID # &5" - Ol tt<t -~ - (L
NOTE: This permit will not be processed without complete information.
1. Blue
2. Gold
3. Yellow
File
City
App1iean1
PP No. C (1,- ~ 3...J-
'-14 7~ "."7'~ G 3
Tht Ctnlt, of lht Lab Counlry
FIXTURE UNITS
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)
I
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
GRAND TOTAL
$
$
$ Sq . s1)
$ .50
40,00
+ 3 ct. s-o
$ 7q .SQ
$99.50
$39.50
16200 Eagle Creek Av. S.E. rior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
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