HomeMy WebLinkAboutPlumbing Permit #00-0476
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DATE TillE
~ 11.1.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
34S~ GLVNIV!t1 ~
PHONE NO,
CONTR,
PERMIT NO. (}() - O~ 7 ~ ~
OWNER
o FOOTING 0 PLUMBING RI 0 EXIGRADIFILLlNG
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP @ 0 FIREPLACE FINAL
o FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
o SITE INSPECTION 0 MECH FINAL l' Hz,() $01=/
COMMENTS: ~ i~ ..
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~
\lJWORK SATISFACTORY, PROCEED
;; CORRECT ACTION AND PROCEED
o CORRECT WORK, 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!
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1m
The Cenler of Ihe Lake Counlry
CJTY OF PRIOR LAKE
- PfUMBING PERMIT PPNo.
Applicant: 15n iJJjre~ ~b.. . phone: (0'1">-
Address: 6) Y;- ~ I#A n/, 11Luv/k;JL .~,.
Signature: 12a~ /- ~ ~:J...
Legal Description: Lot " S" Block.
Site Address:_."'<VSS (;UvruuotA VtruJ
Building Permit # CJ7J IJ-- 0 4'/1/; PID#-2~-3S() - OtJS- 0
NOTE: This permit will not be processed without complete information.
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Sub ~o//IIII//J7bL l.s-r
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
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
$99.50
$39.50
$ ::Yf. SV
$
$
$ ,50
GRAND TOTAL
$ 4-0- (/7/
DATE
ATIEST
t
Call for all in
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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