HomeMy WebLinkAboutPlumbing Permit #00-0515
"'"
DATE
TIME
CITY OF PRIOR LAKE
INSPECTION NonCE SCHEDULED ~ ill
ADDRESS lSSS' LA) I \O,.J^~'T7)-pl C 1 rc li.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
.410
CONTR.
r,,:Q. .
PERMIT NO. ...QD - (').,I.CS""
o PLUMBING RI
o MECH RI
o WATER I:IOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
;X~A'terL
\+E~T eR
If4- - ..;- ~
.):.:~~"Sl
..~~':!
~.......'...''''....'~..:~.;' 'U-t
' ,-I,.
~.
'-- ..Jl.;j~'C'
------- ;;~.;.
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ I
I
Owner/Contr:
CALL 447.9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI
INSNOTl
j
Tho Conlo. of tho llIko Counlry
Quantity
i -~:. ) ;2
: '\ ~~.J
! ,
1. Blue
2. Gold
3. Yellow
File
City
Appli~y
CITY OF PRIOR lAKE
PLUMBING PERMIT PPNo..J)O- OS1S-
Applicant: ^,ofl,['tyI ,PI1/1l1 /" ~ (D. Phone: to 12- - f2.t-t.l{)~~
(Address: S.[,' ~
Signature: .~ 1
Legal Descriptio~: ot ..~ Block '3 Sub.Do...Y (YJIx.\. l-\1\~ .
Site Address: '~qa5 GttrP,~J4 ~ So. M.oI.s 5t;lf()g'/
Building Permit # C) D - Q 5 \ ~ PID # -a ~- 0 \ l - ~a3- 0
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
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
. 11
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 $ 31.50
$ .50
GRAND TOTAL $ 10.00
"r.: "~~7~~-:'
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
.J,f the State Plumbing Code an he amendments thereof.
;:;Fl ~ \ RECEI DATE
ST
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
.183m