HomeMy WebLinkAboutPlumbing Permit #00-0020
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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DATE TIME
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ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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/
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o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
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ALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
C LL 447-98E-) FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
co'k: REQUI.MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
V msNOTl
TM C.nl.r of lb. LIIk. Counlry
1. Blue File
2. Gold Cirx
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Applicant: SfhLoIHf wAku- d.:> Phone0,r2.--7a~2l(y
Address: 78) 1- I(i>~ t-Ju) ,. ~ <3et, ?u..~. r9'5'.~~")
Signature: t A2 r )~ /'I.e.
Legal Description: Lot q ~ Block 2-
Site Address: I t/D60 15<...v68tr2.Q
Building Permit # PID# ZS-~-O I~- 0
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
CITY OF PRIOR LAKE
PLUMBING PERMIT
Sub
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Quantity
Type of Fixture
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
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
$
$
$ ~~ q 56
$ .50
$ -Yd or:>
$99.50
$39.50
This permit is granted upon the express condition that said
contractor, shall co_n 1 respects with the ordinances
of the State Plumbi 1a:nr~rnr.nts thereof.
3(0-' (0 () . ~O () DATE
/ ATTEST
Call for all it2;ecti~ns 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
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