HomeMy WebLinkAboutPlumbing Permit #00-0452
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INSPECTION NOTICE
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OWNER
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ADDRESS \ 4700
PHONE NO.
PERMIT NO.
RAD/FlllING
OM PLAINT
FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
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o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION ~R HOOKUP
o FINAL LUMBlNG FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: l.d~,^ 5rt'l1J\.~
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X\.WORK SATISFACTORY, PROCEED
I~ CORRECT ACTION AND PROCEED
o CORRECT WOR~ll FOR REINSPECTION BEFORE COVERING
Inspector: r;;r ( Owner/Contr:
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CAll 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
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~~etTY OF PRIOR LAKE
PLUMBING PERMIT PP No. C;()~04~
Applicant: LeoAl f)/Njlt 7>/1,7- SJc~ we ,Phone: q3~ ~r(p
Address: 20Ag-; I~ ~,J. tt'Ofk,r-~ ~~~'?
'-, Signature: n",,~
Legal Descripti~n: Lot 5 Block' Sub~n~ ~\\~ I:>t
Site Address: \ 111bC'\ (N.ff\.l C rn.N'"' l- ~E T
i: Building Permit # ~ - 04Ss;1 PID# ~~- ~K4-CXJS--D
~" i NOTE: This permit will not be processed without complete information.
,J FIXTURE UNITS
I. Blue
2. Gold
3. Yellow
File
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Tht Ctnl.. of Iht Lakt Counlry
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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)
(
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
$
$
$ 33. SO
$ .50
GRAND TOTAL
$ 40. elf)
DATE
~1TEST
16200 Eagle Creek Av. S.E. 'or Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
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