HomeMy WebLinkAboutPlumbing Permit #00-0035
CITY OF PRIOR LAKE
INSPECnON NOTICE
SCHEDULED
ADDRESS Zeliz.
W: 1.c; Lane
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION ~ 0 SEWER HOOKUP
o FINAL r ~UMBING FINAL
o SITE INSPECTION / DMECH FINAL
COMMENTS: Wa k. So.f.h.. ~
Hook., LV /}
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~ q:dkJ
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ROCEED
ROCEED
Owner/Contr:
Inspectc r:
DATE TIME
~-z~ I(:h
(/Ja- )S
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
C LL 447.98f.O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
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"'hI' (""nln or .h, I..lac- ("olln.q.
CITY OF PRIOR LAKE
PLUMBING PERMIT # 00 .,tJtJ3f)
Applicant: SH.Lofl-fl W~ & ~c Phone~~-?5.3- erZ'lY
Address: 23Li::~~~ 12A:m~~ _
Signature: ~)oCV~
Legal Description: Lot c:?' 5" Block
Site Address: 2&9 2 ~ t.v/Lfl. I ~ '
Building Permit # PID #25 "307- ()06-0
NOTE: This permit will not be processed without complete information.
I. D1ue
2. Gold
J. Yellow
I'ile
City
AprfiClllll
I
Sub 5Tl5R Lf N6
FIXTURE UNITS
Quantity
"
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
Rough-ins
Water Heater
Sinks
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
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
$
$
$
$ .50
$ A.().OO
$99.50
$39.50
This permit is granted upon the express condition that said
conlractor. shall comply in all respects with the ordinances
or the Slale PIUllIh.'n, It. amendments thereor.
3(,7B!5' 1-'/2..!()O DATE
ATTEST
Call for all i~eClions 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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