HomeMy WebLinkAboutPlumbing Permit #00-0081
DATE
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ~~O
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OWNER
CONTR.
PERMIT NO.
00- OO<e> /
PHONE NO.
D FOOTING
D FOUNDATION
o FRAMING
o INSULATION
D FINAL
D SITE INSPECTION
D PLUMBING RI
D MECH RI
D WATER !:lOOKUP
D SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
D GASLINE AIR TST
(ti ~ 0 J()F7'.
COMMENTS:
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~WORK SATISFACTORY, PROCEED
D CORRECT ACTION AND PROCEED
D CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
~
Owner/Contr:
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI
lNSNOTI
CITY OF PRIOR LAKE
PLUMBING PERMIT PPNo. 00-001/
APPlicaHf5~1l pAt-.) l~,q19P f1'l:>, Phone~/Z)75:3-f'Z~~
Add_s: Y?/9 -eg ~ ~~ ~ -;;;~
Slgnature:,~ ~..iJ
legal Description: lot ,~ BI~ 3 . 5":;'000:';; c:rmrcs
Site Address: 11M ~ ~. brvlD 27PJtJ~ ~ ~ tA~#lp.
Building Permit # tJ d -- () () e / PID # 25 -.3/7 "O/$'" _~577-
NOTE: This permit will not be processed without complete information.
1. Blue
2. Gold
3. Yellow
File
City
Applicant
The Cf'nlrr of the Lake Country
FIXTURE UNITS
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain J 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
$
$
$ :?;.S-O
$ .50
GRAND TOTAL
$ ~ .()O
This permit is granted upon the express condition that said
contractor, shall co i all ts. with the ordinances
of the State Plum . e mend~nts thereof,
Vu-; I'() DATE
ATIEST
Call for all nspections 24 hours in advance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer