HomeMy WebLinkAboutPlumbing Permit #00-0034
CITY OF PRIOR LAKE
'NSPEcnON NOT'CE
SCHEDULED
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ADDRESS 15Jq7 WtJt)~'DtA.r~
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PHONE NO.
CONTR.
PERM'T NO.f) W 3 t.I
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULA T'ON
o FINAL
o S'TE INSPECTION
o PLUMB'NG RI
o MECH R'
o WATER HOOKUP
~..-r~R HOOKUP
~~~MBING FINAL
COMMENTS: 10a. ~ S;Z:~
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o EXIGRAD/F'LLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE F'NAL
o GASLlNE AIR TST
o
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F~
/
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~K A SFACTORY. PROCEED
o CORR CT /1f< N A D PROCEED
o CORR LL FOR RE'NSPECT'ON BEFORE COVERING
OwnerfContr:
LL 447-9 ,50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
C~E REQU,REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
\J l~OTl
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: S H-tzv111f ~ ~
Address: 73/9- /(di; t4r,.e .1'\Jl..Z)
Signature: We J .J.~.
Legal Description: Lot J Block
Site Address: /6797 -l.t)r~c1t..-n-
Building Permit # PID #..2..5 -32.3 -OZ:l,-O
NOTE: This permit will not be processed without complete information.
"Ill.. ('tnlfr or Ih" 1..1c~ ("ounlr)'
FIXTURE UNITS
Quantity
"
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
I
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
$99.50
$39.50
GRAND TOTAL
I. BIlle rile
2. Gold Cily
3. Yellow Applk:Mt
~~A_
# OO""~
Phone: (;;rZ-'7rs3-QZltY
Z-
W/~S 2ND
Sub
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
$
$
$
$
.50
$ 46.00
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing' n t amendments thereof.
3~7~s- R. z/ 2,/00 DATE
A lTEST
Call for all i
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 553721 Ph. (612) 447-4230 I FAX (612) 447-4245
An Equal Opportunity Employer