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HomeMy WebLinkAboutPlumbing Permit #00-0256 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 3-,-0 I 4:00 ADDRESS /734 4~ SUN~ 6/1G . OWNER CONTR. PHONE NO. PERMIT NO. ()7) . (] 2....570 o FOOTING o FOUNDA nON o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH F ~L o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL 4Jl 0 GASLlNE AIR TST l.LY)(-.&o HI~ 1 COMMENTS: I ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~, Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI CITY OF PRIOR LAKE PLUMBING PERMIT Applicant: Kc:J- t41v . ~t:? ~ t...1f( Address: ~tJ/hJ C.4-4/1",I:r.JA . JI1~;Z:1/~ ~O Signature: ~ ~ Legal Description: Lot /0 Block I Sub WO()DVIGIAJ 1ST Site Address: /13'1'1 ~4At1 ~IJL 5"w 2/S.o Building Permit # (J 0 -6 2..6b PID # 25 - /135 - 0 I 0 .... 0 NOTE: This permit will not be processed without complete information. 1. Blue 2. Gold 3. Yellow File City Applicant The Cenler of the Lake Counlr)' PPNo. Phone: ::J'JI- o-S6.s /l~~te7lf ~ CSY'I/ 00--025((; FIXTURE UNITS Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Dishwasher / Rough-ins Water Heater 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 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 $ 39.50 $ $ $ .50 GRAND TOTAL $ 4-O.tJO This permit is granted upon the express condition that said contractor, shall comply in all respects with the ordinances APR , 6 2Wl of the State Plumbini/lC de ~dm91ts thereof. 37/q5t . {)/~O DATE . I ATTEST Call for all' spections 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