HomeMy WebLinkAboutPlumbing Permit #00-0491
/
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~
'II
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
l(}j/JD
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
DATE
nile
SCHEDULED f2I f..,~
1J~~lY-~.
CONTR.
PERMIT NO. ~,ttql
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~ 'Ty<./t~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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
o
1. Blue
2. Gold
3. Yellow
File
City
Applicant
CITY OF PRIOR LAKE
PLUMBING PERMIT // PPNo..fJV,,0491
Applicant: NlA-t:-..rlS 1o""c~ L-A"'4SCQ-r(~q Phone/6'Il.-) 2.1../-lg3'J
Address: 1(.7' IIf 7 t t., /...IJ (IJ k.J A .....~o VQ I, /Vi N 55 <,t:> f
Signature: ~ f ~~ vi
Legal Description: Lot L . Block b Sub I~ (\oJ-, . i+\ I) r-J'.
Site Address: "i G 0 rllo\ Yh jI\'\ : ;1 '1 b I ,j If.
Building Permit # 0l.J -()"'Ict.l PID #~- .~3Cr-O 4L/-(]
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Type of Fixture
Quantity
Type of Fixture
v
J
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPl, Double Check, PVB)
Backflow Assembly Test
lawn Sprinkler
Other
v"
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
Q..... ',.~.
.......... ......1':
. ~ ~ .":., ~, .' ,i:.'.
.' .' "':.,"
$
$
$.B.SD
$ .50
$99.50
$39,50
GRAND TOTAL
$ JiB. V'() _
This permit is granted upon the express condition that said
contractor, shall comply in all respects. with the ordinances
of ~~":~i:~
01 Jj ATI'EST
C . for all ins~ons 24 hours in advance.
16200 Eagle Creek Av. S.B. Prior Lake,MN 553721 Ph (612) 447-9850 I FAX (612) 447-4245
An Equal Opportunity Employer
I
J
.~\
',' ~