HomeMy WebLinkAboutPlumbing Permit #00-0519
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEgULED ..
DATE
f-t
TIME
ADDRESS
Itll./72- /JI~br.J r~i I
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
CO$/1
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
L-uWl"l 9""~/~
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
-- ,
/ - () ('~ -
'--'" '- v -
(-/~
, WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: f11t' J.-)... 1- ~ner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4< SAFETY!
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2. Gold
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CITY OFP.RIOR",LAKE
., ' ':" ' '~ ~
PLUMBING PERMIT
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Applicant: \\<...~,'?e.~-~~
Address: ~ 0, fx:)~ \ '" \ ~ 13cAc.N~I,,)' \'~I-
Signature: #/ h(?
Legal Descnption: Lot Z. Block I
Site Address: /W 7.J .t!Iv~.c.Q ~-<-
Building Permit # (rO .05/9 PID# Z5 -.3/0 - OOz-O
,
NOTE: This permit will not be processed without complete information.
PPNo.
Phone: t:h7- ~Y-7&OO
~ t.J .s5~3"'"
Sub rlfJo.t$ If/ t.,&
FIXTURE UNITS
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)
Quantity
Type of Fixture
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
$ 3Cj. 5lJ
$
$
$
.50
GRAND TOTAL
$ 4t' . r/IJ
.
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
~ the State Plumbi~J , e/~ the am1ndm1nts thereof.
;;; 17; I~ i '~NO. b / z.& !fJU DATE
; J - I l
if __ I A TIEST
Call for all i~ections 24 hours in advance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 553721 Ph (612) 447-98501 FAX (612) 447-4245
An Equal Opportunity Employer
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