HomeMy WebLinkAboutPlumbing Permit #00-0264
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CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: J I ""^ G '('0- V (, L
Address: I~ 7~,'1 ~~\.~ l.cd4 'JV~~\
Signature: ~/\^-'" ..-~~
Legal Descri~ion: Lot ~ Block ~ Sub Yn<J1" 'SouJ-h
Site Address: I b 1 0 ~ \3\~ ~ ~ Tr04 I
Building Permit # CTI1.... CQ '- 4 PID # b) S- -() \l-~4 -0
NOTE: This permit will not be processed without complete information.
1. Blue
2, Gold
3. Yellow
File
City
Applicant
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PP No. GO - 0;;;' t..j
Phone: '7S 2. - L.J47- S&-))
The Cenler of the Lake Coonlry
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)
I-
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
$
$
$3<1. SO
$ .50
GRAND TOTAL
$ Ltt). 00
16200 Eagle Creek Av. S.E. rior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
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DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED --57~/OO 9:3tJ
hL/lJ () LItILE rte- r
ADDRESS
/ /p ? 59
OWNER
CONTR.
PHONE NO.
CJ -~~ t{
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
.Jiit PLUMBING FINAL ~
o MECH FINAL C!2/
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: LMN
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C-~ Ff(~~,
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/oRK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~. ,C~~L FOR REINSPECTlON BEFORE COVERING
Inspector: f\. . F Owner/Contr:
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CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI