HomeMy WebLinkAboutPlg Permit 01-1358
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CITY OF PRIOR LAKE
PLUMBING PERMIT
\. Blue File
2. Gold City
3. Yellow Applicant
# 01" (3~~
Applicant: Klamm Mechanical Contractors Phone: gS?-RqO-LlAhR
Address: 12409 County Rd. 11 - Burnsville, HN 55337
Signature: ~ /C" ~R<t'A
Legal Description: Lot Block Sub
Site Address: 14377 Raven Court
Building Permit # () 1- /.3.SA PID # 2..~ -3(;:,8 - oU"'O
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Thr C"tun of rhr I.."" Counrn
Quantity
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Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Rough-ins
Water Heater
Water Softner
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Bar Sink Lawn Sprinkler
3 Water Closet (toilet) Other
/ZcF/L"~e h-x h.,1f4E" /~w~tr/5 LJuc;- 70 r;/Z~
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
$ S9. !o
$
$
$
.50
GRAND TOTAL
$ ~.PD
This permit is granted upon the express condition that said
contractor. shall comply in all respects with the ordinances
of the State Plumbing nd the amendments thereof.
40'1(,(, R . /2- -3-0 I DATE
ATTEST
Call for all in ections 24 hours in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
DATE TIME
CITY OF PRIOR LAKE
INSPECTIOK NOTICE
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SCHEDULED 2-/ Z "0 Z. z. ; UO
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CONTR. \'
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o EXlGRAD/FILLIN~
o COMPLAINT
o FIREPLACE RI
o FIREPLACE F1NAr
o GASLlNE AIR TS
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PERMIT NO.
ADDRESS
/4..5/7
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
~SEWER HOOKUP
PLUMBING FINAL
MECH FINAL
~6lAil~ CJ c..
COMMENTS:
rORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~, ~ALL FOR REINSPECTION BEFORE COVERING
Inspector: < D~~ Owner/Contr:
CALL ~7.9850 FOR THl NEXT INSPECTION 24 HOURS IN ADVANCE.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI