HomeMy WebLinkAboutPlumbing Permit #00-0433
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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\5'515 Frz-ArJ(C-t...,1'l T(L
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
d,A ~PLUMBING RI
f\ V 0 MECHRI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o FOOTING
o FOUNDATION
o FRAMING
o INSULA lION
o FINAL
o SITE INSPECTION
COMMENTS:
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TIME
('L: 30
OU ... 433
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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Owner/Contr:
C LL 447-9850 FOR THE N :XT INSPECTION 24 HOURS IN ADVANCE.
FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
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CIJY OF PRIOR LAKE
PLUMBING PERMIT PPNo.DC- 043.~
Applicant: )-( r,\ ..-Y1 ~ V. ,.......-1 ~ Vi t, . /rI fI- Phone: 6.7 I C/;;f,."l- '2. I 9 '1
Address: r; s l" S'., ~ c y I r ~ ; I 5't~ c y M Y1 -..
Signature: e/ AA ~ }~..,.,:>-- - ,
Legal Description: Lot <.k..c). ~ ~Block 1W f> 1\5'" .Sub rJ'\G rOd.
Site Address:i5 ~1 S' tY--CU"\kJ, (\ \f1j.j ,
Building Permit # (}t), () 330 PID#~S--q36-DO~-~
NOTE: This permit will not be processed without complete information.
1. Blue
2. Gold
3, Yellow
File
City
Applicant
The Center of the Lake Country
FIXTURE UNITS
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
7~
FEE SCHEDULE
d
)0 k.j' 3 t g-o
Other
Ot4l1'u f'0.
C)O/ <oJ
;;..--
~A1tv ~
2.
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
$ Tt.so
$
$
$ .50
GRAND TOTAL
$ !/ll. (J1)
This permit is granted upon the express condition that said
contractor. shall comply in all respects with the ordinances
of the State Plumbing Code and the ametm~ts thereof.
J 7 ECEI, ~ 'd 00 DATE
ST
Cal ~ r all inspections 4 hours in advance.
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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