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CITY OF PRIOR LAKE % 73
v PLUMBING PEWMT No.
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Applicant: �� ;� TZ 4,6' r Phone: yy7 - I S - Z 6
Address: criRCLC- ZV. 4
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'Signature: "''.'
,L'e'gal description ofpremises tobe
plumbed: Lot Block
Sub: - 9 -o-:?-2
Address: .-D 4M0 r1-5 A aavE"
Building Permit#
NOTE: This permit will not be processed without complete: information.
FIXTURE UNITS
SURCHARGE :50
rt GRAND TOTAL s O ; S'V
This permit is granted upon the express conditions that said contractor, shall comply in all
respects with the ordinances of the state Plumbing Code and the amendments there of.
Date
ATL (014
It Attest
Call for all ins tion 24 hours in advance.
(612) 447 -4230 •4629 Dakota Street S.E. •: Prior Lake, Minnesota 55372
Quantity
- Type of.Fixture
nit
Amount.'
Total
- Bath Tub with or without Shower' .
$4.00
Dishwasher
$4.00
Floor Drain
$4.00 ,
Lavatory (bathroom sink)
$4.00
Laundry Tray (1 or 2. compartment sink)
Shower Stall
SINKS:
F$'4.00
Combination Sink and Tray
with or without disposal
Bar Sink
$4.00
'Water Closet (toilet)
$4
Rough -ins
$4.00
Water Heater
$4
Water Softner
$4
Stand Pipe (washing mach)
$4 -
Sewage Ejector
$4 -
Other
$4.00 '
Lawn Sprinkler
$20.00
0
TOTAL
O
F
s
,
i` DATE TIME ;
CITY OF PRIOR LAKE CALLENN
INSPECTION NOTICE `�'�� SCHEDULED
PERMIT NO. 9 1 - . _ 7. 7 pp COMPLLE 4 ._2 -y-C
ADDRESS 3 l Y 5 �U�t(G-+-r.Q
OWNER CONTR.
TELEPHONE NO.
t11" p FOOTING OPLUMBING Al OSITE INSPECTION. -
0 FRAMING O MECHANICAL O EXCAVJGRADING/FILLING
O INSULATION`• n,
rYJ. ❑ WATER HOOKUP O LAKESHOREIWETLANDS
O WALL BD, O METER SE ITURN ON O COMPLAINT
2 O FINAL ❑ SEWER HOOKUP O FOLLOW -UP
Q O PROGRESS -0 SEPTIC. INSTALL. O SEPTIC FINAL <
❑ OEMOL. O SEPTIC MAINT: ❑ FI PLACE' r
1.: O FIRE PREV. O PLUMBING FINAL /�...,�e --� tr {
C OMMENTS: 4
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2
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W SORRECT ATISFACTORY:PROCEED O PHOTO TAKEN
WORK AND PROCEED T.WOR . CALL FOR P.EINSPECTION BEFORE COVERING
• CORRECT UN FE CONDITION WITHIN H OURS. INSPECTOR WILL RETURN.
• STOP ORDER P STED. CALL INSPECTOR.
• INSPECTION R UIRED. CALL TO ARRANGE 'ACCESS.
call for the next pection24 hours in advance.
Owner /Con r. n ite
Inspector 447
YM CCy r/ to WT C.PYMa '.FA