HomeMy WebLinkAboutPlumbing Permit #00-0027
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEQULED
ADDRESS ...5J 7 8 @.-uolu Cix.le..
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
i1EWER HOOKUP
PLUMBING FINAL
MECH FINAL
COMMENTS:~ ~
~
TIME
'1.7.0
b-Z7
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
0/1
~jU'
~RK SATISFACTORY, PROCEED
q ~~RRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
~ Owner/Contr:
~
CALL 447.9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/NSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETY/
,;;)
CITY OF PRIOR LAKE
I. Bille
2. Gold
3. YeUow
file
Oty
AppliC8lll
The Cenler of Ihe LIIke Coynlry
PLUMBINCj PERMIT PPNo. ()Q~~fi!;
Applk:anl:~ ~ Phon.: S1l' t7 ~ "Z y. 0
Address: . rC2. C yc/e- sf.
Signature:
Legal Dascription: Lot 7 BIOCk,l SUb!?~'vJ U..E tll~
Site Address: ?/7j{ I3rt?t?~ C:::lrc-/~ 2~O AOON.
BUilding Permit # 00 - ooz. 7 PID# :?&:;-OlfD- l'J67-n
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher I 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 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
$ lC}. 5' c
$
$
$ .50
GRAND TOTAL
$ '/~--
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~e ame dme ts thereof.
IPTN e 0 DATE
, ATTEST
- '~ur;~vance.
~ I 8 2000
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer