HomeMy WebLinkAboutPlg Permit 01-1189
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CITY 0 :,p ~ 0 ~ _AKE
PLUMBING PERMIT
Applicant: NtJM'...DJ1I1 fLJf1Il6IM:; Phone:.
Address: z.. '1 C> S' ~I G(' D /I1Ir=; C"~
Signature:~
, FURE, KARIN
Legal Descrip brt: Lot i Bloc 3305 FOXTAIL TRAIL .
Site Address: IJ) 2&~ t;-ril PRIOR LAKE, MN 55372
Building Permit # (952) 447-6971 ?~- 375-CDI-O =
NOTE: This permit will not be processed withuul wUIIIIJ'ClI" ""V'" tQ""""
FIXTURE UNITS
Quantity
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Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartmertt sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Commercial & Multi-Family ,
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
GRAND TOTAL
$ 3q~,)O
$
$
$ .50
$ tj()oCD
$99.50
$39.50
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This pennit is granted upon the express condition that said
contractor, shall comply fn all respects with the ordinances
of,t~e State Plumbing Code and the amendments tho/eof.
/fOr 00 RECEIPT NO. / {} ~ c:t>3 -Or DATE
)f(J'iL1;}- ~ ATIEST
Call for all inspections 24lhours in advance.
16200 Eag1eCreek Av. S.E.. Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
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DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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ADDRESS ..3..,~Oc.::;-
F(V( U
OWNER
CONTR.
PHONE NO.
PERMIT NO.
VI
JlS9'
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR ~
~ I II _... ~
COMMENTS:
~ORK SATISFACTORY, PROCEED
o CORRECT ACTI AND PROCEED
o CORRECT R, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL .9 ;~R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETY!
INSNOT/