HomeMy WebLinkAboutPlumbing Permit #00-0018
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DATE TIME
CITY OF PRIOR LAKE
'"~PECTtON NOTICE
ADDRESS
~3(P?
3/30/0' q: gCJ
~Lj NuJ~TE:7t- T~,
CONTR.
SCHEDULED
OWNER
PHONE NO.
O() - ao r ~
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.. FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: H-,!.O ~~
t!')ase.- ~..,p
/"
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~Y)ALL FOR REINSPECTION BEFORE COVERING
Inspector: P '- ~ Owner/Contr:
l
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
CITYp~~:N~I~~M~AKE # ~D~;l
Applicant: _~hJtfl15tJ' ~ Phone:jl')-~dY6.J~~
Address: ~t:?V:;) t1~ ~ /Y, I(aJ IkfJ.( ,/J[h c-rV;J~
R /. J--z,./ f /. ; , . 't;;-
Signature: {I ~7 ~ ~ O/'fI'U
Legal Description: Lot z.. Block..3 Sub 6L1/1IIf1/#r&l2- .s .
Site Address: .:JJ tI 7 ~""/ll Wl
Building Permit # rrv-O()/~ PID#--2S'-..35Z- 012--0
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Th. C.nl.. or Ih. La'" Counlry
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)
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVS)
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
$ 3Q.~
$
$
$ .50
GRAND TOTAL
$ -1V~cnJ
This permit is granted upon the express condition that said
contractor, shall co ly in all respects with the ordinances
of the State Plum e e am1~(ts thereof.
3Ja.J s-Cf , I ( 00 DATE
,
A TrEST
Call for all nspections 24 hours in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer