HomeMy WebLinkAboutMechanical Permit 01-0105
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CITY OF PRIOR LAKE ~ ~tow
T #edH-, # (J 1- ___05__
APPIir.rmt}) (' V\: ^- \? (' () r lLAV\^~~ r.$s Phone: 95d- L~ ---' (07'9 9 -
Address: ;::;< 'I 'f2-Jif:!!!1I :' e t<.J ~__
Signature: 1(/ I _~~cl+- ~~ Z~~~" __
Legal Descri~tion: Lot ''-..l 8 Block * Sub tYf1W//tI'Rt,-~Otre Isr
Site Address:....s:.3:KJ: ('1 tJ.CC.(,/\tS.-,// ;?,'~Cl ~if /2,
Building Permit # Q/ - QJ.QS:_ _____PID # _~5 .. Z!l.9 - () 'UJ-- 0
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Quanlt~V ..'
T VJJtJ of Fixlur~
QUClrllilv
TVp, of Fixturfi
Bath Tub with or without shower
Floor Drain
Rough-ins
Water Heater
Water Softner
ulsnwasner
Lavatory (bathroom sink)
I flunnry Tray (1 or? r.nmpflrtmAnt ~ink)
Shower Stall
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RP~ Double Check. PVB)
Bar Sink
Water Clooct (toilet)
I
liaol<ftow Aooombly Toot
Lawn $prinK1er
Other Cas /.~{J Po ( JlotJe.,
Ci..lte
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(10/0 of job cost, $39.50 minimum)
Residential, New One & Two Family
Re..identiaJ. Addition.. & Atteratjon~
$99.50
$39.50
$
$
$ _...2 7"' ~ 0
$ .50
State Surcharge
GAANO TOTAL
$ *) () 0
Thir permit it gT2J1ted upon the upreu condition th:J.t uid
conlractor. shall comply in all respects with the ordinances
of . hI; Stilt!; Plumbing C amendments thereof.
.3 'd U) RE .:z::.z..o,O L DATE
A I l ~ST
Call for all ins
16200 Eagle Creek Av. S.E.. Prior Lake. Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-4245
.. ....._._f""""" ~._.~......_."'__._I_.___
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
'Z. ZZ,-o ,
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ADDRESS
~5a53 CA WrNftG R-A 066 -ne-,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o ( -01 cJ::,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINALru ~ GASLINE AIR TST
o MECH FINAL ~ 0 fEtA.5 S10VE
COMMENTS:
.:5tJ ;J.- (;r1- A. .-r--- r
-}j~
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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,
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl