HomeMy WebLinkAboutPlumbing Permit #00-0289
DATE TIME
CITY OF PRIOR LAKE IO.li.. / tJi1 A ,%'
JNSPECTION NOTICE SCHEDULED
ADDRESS /~ 3 z. I ~"oJ ;;?J ,
OWNER CONTR.
PHONE NO. PERMIT NO. CJ- 2..-89
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION (fj) o SEWER HOOKUP o FIREPLACE FINAL
,g FINAL o PLUMBING FIN o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
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COMMENTS: LA-zvN
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Inspector:
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
The- Ce-nlrr of Ihe- L.ke- Counlry
CITY OF PRIOR LAKE
I'LUM(3/NG PERIf{I/T
Applicant: ~k t.(ed ~d ~ l \A.VV\ b/~J
Address: 7~ )DO V: 11\.0 trtt. I
Signature: ~ ~ !
Legal Description: LeI.::2 . Block,~ SUb~) ~ r<!{
Site Address: J lIs '/ I k' obiI.'"", rd !\J.E.
Building Permit # . .~ - () Ot ~ PID # 95 - 239 - n 16-()
NOTE: This permit will not be processed without complete information.
1. Blue File
2. Gold City
3. Yellow Applicant
PP No. (JlJ - O~ &CL
Phone:Gl2 - 11 9--ljtriJ{) _
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
ly
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Sackflow Assembly (RPZ, Double Check, PVS)
Backflow Assembly Test
Lawn Sprinkler
Other
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
$
$
$ 3<1, SO
.50
$
GRAND TOTAL
$ 40. DU
16200 Eagle Creek Av. S.E. P . r Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer