HomeMy WebLinkAboutPlumbing Permit #00-0293
CITY OF PRIOR LAKE
INSPECTION NonCE
ADDRESS
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OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
.
SCHEDULED
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CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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OA TE TIME
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o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~ SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: M g,,);( ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
...... .....,~~'~.,.,
ell fOFPRIOR LAKE
PLUMBING PERMIT
APPlicant~ 1: f'M.~~
Address: ~.:3~~J1. rM-/J)
Signature: ~ ' ,
Legal Description: L t 9 Block '7' Sub G/./ mvf.ltl..S/IfJK:..ES
Site Address: )S6:3D~P~~, /
Building Permit # 0 () - 0;)-1:/... ~ PID # 2.c -(; 9/- d Z t../ - 0
NOTE: This permit will not be proce~ed without complete information.
FIXTURE UNITS
1. Blue
2. Gold
3. Yellow
File
Oty
Applicant
PPNo. tJO-~tz3
I
Phone:jJ2 - -r.; 7(; -l./...%:kJ
Quantity
Type of Fixture
Quantity
Type of Fixture
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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 Assembl)!. ('" ~ - - ~L I ik, PYr3)
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. .
.
$ ? 9 C-()
-.) .---
$99.50 $
$39.50 $
$ .50
GRANO TOTAL $ JO.OO
I
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This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing C.1Ii11~flan.t am. e~dmlf1ts thereof.
373 Y (,- REC. 5/ Z-J ~ () DATE
Ji I '/ ATTEST
Call for all in~ti~ns 24 hours in advance.
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16200 Eagle Creek Av. S.E. Prior Lake, MN 55372 / Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer