HomeMy WebLinkAboutPlumbing Permit #00-0346
DATE TIME
5 )1'1 jJ(J q :-co
ADDRESS I fc:, 2"1 (.. Par \L- Vl)- J . ") f8y I~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OWNER
CONTR.
PHONE NO.
PERMIT NO.
((f0 ~UMBING RI '?
f\ 0 MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: Lawn S por,.Jv ~ ,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
~ ""^-(rt12
----- ,/"
( tf'h- 10
"----- .
~
O-S4~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
I
-~- I ~<-f"
~~
~~~
'\
------
~ WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
:.::~CT 1: ~ALL FOR REINS::::::FORE COVE~NG
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSI'IOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE
1. Blue File
2, Gold City
3. Yellow Applicant
PP No. 00 -()3~
Phone: ttS"',;z. 't'$3Jb36
<"S-tfv.3
Th. r.nl., of Ih. L.k. Counlry
PLUMBING PERMIT
Applicant: L8rt7A ~~..." # ~
A~dress: Z0J::.. - / 7 ~ . - 1 _IUd . ,L/~ L4,
Signature: ~.M44..J ~ ~_
..... -
Legal Description: Lot 5" Block 4- Sub~. Jf2IOdf,G 3,eD
Site Address:~ 7~ &..r-K UC:.#.J /Jv-.
Building Permit # 0 0' -O~~ PID #.2.5-3/"" 03'-0
f
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Rough-ins
Water Heater
Water Softner
/
Stand Pipe (washing machine)
Sewage Ejector n
Backflow Assembly (RPZ, Double Chec,\ PVB)j
Backflow Assembly Test
Lawn Sprinkler
Other
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
$ ~9. 50
I
$
$
$ .50
GRAND TOTAL
$ 4tJ.OO
This permit is granted upon the express condition that said
contractor, shall CflAmPIY' ~I r tS." with the ordinances
of the State Plumbing ~~s thereof.
~4z. CJ R 0 DATE
ATIEST
Call for all iXctions 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