HomeMy WebLinkAboutPlg Permit 01-1357
CITY OF PRIOR LAKE
PLUMBING PERMIT
I. Blue
2, Gold
3. Yellow
File
City
Appticant
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Applicant: ~.N"\("'f"\ M(OChnr\\ C('1 \ C ~kPhone: Q..~d' ~q(). 1..\ ~ l.o <K
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Legal Description: Lot ,/ Block / Sub
Site Address: ~141 ~fC'J~(VV\'C\.. ~. '
Building Permit # . n/-/35"1 PfD#-.?5-ZtJ1- tJfoO-~
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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
Rough-ins
Water Heater
Floor Drain
Water SoHner
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
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
$
$
$ 6q.<.-~
$ .50
GRAND TOTAL
$ J-/t'J.M
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing the amcndments thcreof.
~9(Pt, R o. /2~3-0 I DATE
ArrEST
/
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 Employcr
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED q -Ira - .3
S?L/7 ~~C~St-
CONTR.
PERMIT NO.
0(-- /3~'!
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 FINAL 0 GASLINE AIR TST
o MECH FINAL 0
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~SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
'",p,cto" ~ Owo"/Coou,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ