HomeMy WebLinkAboutPlumbing Permit #00-0196
DATE TillE
~ LJI(}[)
3(11 (C) ~0 d:~~
CONTR.
CiTY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
I
I
~~/
~'SATIS;
o CORRec.t..AC-
o CORRECT 0
~..
-~
SCHEDULED
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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----
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o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
A~~IRTST
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---.....
1==J.. ~.
OR REINSPECTION BEFORE COVERING
OWner/Contr:
ENTS ARE FOR YOUR PERSONAL HEALTH &I SAFETY!
INSNOTI
"
.
,
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'MR-.m
CII f OF PRIOR LAKE
cI6l!Hm~&jMfToN'NG
Applicant (.)Q3L' ("I \1 1 I~~AV PhOM~
Addrea: WAWt- .1 INKA. MN 55345
SIgnature: ~
Legal Oe8crtptlon: Lot QIOCk J Sub (31:))
SI18_:~l"" INuj ~\\s'Qw-. LYinQ..g,~iyen~.
Building Pennit . I PIC It~ -, - 001- 0
Nv I a::: Thia permit WlI not be p , . ~ ...sed without gompIete Information.
I.... All
~ GlI4 atr
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00-0190
.
lit c-.. ... ... c;....,
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Qu8nUly
Type of FDdUre
Bath Tub with or without shower
0Ishwaher
Floor Drain
Lavatory (bathroom sink)
LauI1dry Tray (1 Of 2 compartment link)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
PlXTURE UNITS
0uIntity
Type of FIx!ure
I
Aough-ins
Watw Heater
Water Softner
Stand PIpe (washing machine)
Sewage Ej I ..L. \,'
SIcIdIow ~_ (RPZ. ~ Q1ICIc, PVB)
BackftOw AIHmbIy Test
Lawn Sprinkler
Other
Fa SCHEDULI
Industrial. COrnrnercial & M~Family
(1% of lob cost. $39.50 mfnlnun)
RMIdential. New One & TWo Family
Resldential. AddItions & Alt8rattons
State SUrcharQe
$99.SO
$39.50
$.
$
~.5n.
$. .50
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JOel die expreII coadidoa dlIt Wc1
~. IMU comply ill all ...... ""ell die orcIiDIIIca
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-TUF' - - Au~.
Call for all i.'r ~..:,on& 24 boun ia Idvmc:e.
GRAND TOTAL
$ YO,fJO
16200 Eagle Crec~Av. S.B.. Prior Lake, Minnesota SS3n I Ph. (612) 447-4230 I FAX (612) 441-4245
AD Equal O~lY Employer