HomeMy WebLinkAboutPlumbing Permit #00-0389
ADDRESS
DATE TIME
~f(nO z.t crD
/6950 WIL,05/CN65S 7R-.
SCHEDULED
... - -c1?f OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
00 -()3e1f
o PLUMBING RI 0 EXlGRADIFILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL ~ GASLlNE AIR TST
o MECH FINAL tv ~ L/lWAI
I S 1"'#-1 Ai /C L.67e-
COMMENTS:(2) ~; ~ _ .J)~ ~ .) ~t2:.._~:"~
~ ~ ~. =-./
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
~~~.~
':-t~:
o WORK SATISFACTORY, PROCEED
id' CORRECT ACTION AND PROCEED
10 CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~l
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
CITY OF PRIOR LAKE
PLUMBING PERMIT PPNo. ,OO-()38'Q
Applicant: ~r-u 1J'l4.S~ .plv-.\r') ']:~<-. Phone: t ~/~A{~l) "'''8 (,1"2.. L
:~~:u:~ ~!['f?; S~ ~.+-.~- 550~'i
Legal Descript n: Lot S- Block Q. Sub W, ~ p~S
Site Address: \ bC\5"6 'tJilie me <:S. \({j. ~ \
BuildingPermit# O(J- C3%'C( PID# OlS- 3\ '(-()cl7-0
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
1. Blue
2. Gold
3. Ye\klw
File
City
Applicant
Thr Ct'nlrf of Ih. Lakr Country
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
Lavatory (bathroom sink) Stand Pipe (washing machine)
Laundry Tray (1 or 2 compartment sink) Sewage Ejector
Shower Stall Backflow Assembly (RPZ, Double Check, PVB)
Sinks Backflow Assembly Test
Bar Sink I Lawn Sprinkler
Water Closet (toilet) 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
$
$
$ 39. 50
$ .50
GRAND TOTAL
$ 4 (J.<IJ:)
DATE
A TIEST
16200 Eagle Creek Av. S.E. rior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
II