HomeMy WebLinkAboutPlumbing Permit#00-0007
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CITY OF PRIOR LAKE
IMSPECnOM MonCI;
Ae"~DUL~D
ADDRESS I ~ 32.7 Nv.., _\NO($)
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
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~RK SAliS A TORY, PROCEED
o CORRECT A ROCEED
o CORRECT OR REINSPECTION BEFORE COVERING
Inspector:
OwnerJContr:
R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
'NTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
C.nl.r of lb. Lllk. Counlry
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: No rbl() m PI bt:J ,
Address: ;1105 Gamd/ /fY(.f,' IV/fJIIS
Signature: ~.Af~~'
Legal Description: Lot Block Sub /l/O~/;/'J1IOQ.D
Site Address: /63.27 Ndk'#rwt'Jod R~ J:2../:50
Building Permit # () 0 - () n () 7 PID # 25 -/ '-/-1 - (jtl-I - J
NOTE: This permit will not be processed ~hout complete information.
FIXTURE UNITS
1. Blue
2. Gold
3. Yellow
File
City
AppliCllllt
PeNt>. 00 -0607
#7-'IM3, ,
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
GRAND TOTAL
$
$
$ 3950
$ .50
$ 40.00
$99.50
$39.50
This permit is grante
contractor, shall co
ofthe State Plum
~/3S
DEe 2 8 1999
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16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer