HomeMy WebLinkAboutPlumbing Permit #00-0203
ctrv OF.,fRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
3~s3 "~
ed
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION , 0 jEWER HOOKUP
o FINAL '\ ~PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: W a~ ~ ~ -fJ y
~kl\
OlA.---
~prI
TIME
ti -. 00
0...203
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
Inspector: ~ Owner/Contr:
CAJ. 447-9850 F~R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/NSNOTl
'NTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
;' "'"""'-:"'i"i:;~~~11~8':~i>~:\\C"~,;:~'~~~p:tj.'5,~)-\"~:t",,,1i"~'~\*:~:"~~",~X~'-\';;' ,-' "'/:;:''' .': of"'_._' "'~"::;'~',,'> "'~''''',' ".: -- >l,:.w;o'':i'~'{'' ....'~'~~_~~,~I;.,~~l?e~a.,~~,t::~!l""~'Wt~~
T.e Cenler of 1M Lllke Counlry
Applicant:
Address:
Signature: 01.-
Legal Description: Lot ,~t:7' Block,
Site Address: 3333 T;-&tQl!lL Sw
Building Permit # (X) ....6~ 3 PID # Q 5" - I C3....c,~
NOTE: This permit will not be processed without complete information.
CITY OF::.Pfl,IOR LAKE
PLUMBING PERM"
Stbtc>1l ~ Phone:
'1,'S/f-~ 0 I~_~
-,
FIXTURE UNITS
Quantity
Type of Fixture
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
Sinks
Bar Sink
Water Closet (toilet)
L
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing'machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
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
$
$
$ 39&2
$ .50
GRAND TOTAL
$~Q.dO
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 the ame me s thereof.
:3 R NO. DATE
.;.. ,-.
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer