HomeMy WebLinkAboutPlg Permit 01-1182
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CITY OF PRIOR LAKE
PLUMBING PERMIT # _J2f-.LIB-~__
Applin",," Dro. i n f 11) l' llA rn ~ -, Q Phone: Cj &) d-. L/ l<> 9. i.JJ Q'19 _
Address: ~ ~I ~ 3...J:h.~h\L!t:-- . t...- ~Y-.LIillJ.~- .ffitL...2. "JDY ':l ..
Signature; ~~~ __~__.
Legal Description: Lot Block Sub . ~__
Site Address:-DJL-ll 0i i \de~ne-'Ss TroLl' I (Je/n'l'f-J.Y-u SOh)
Building Permit # .._____ _.___________PID # __________.___._~_
NOTE: This permit will not be processed without complete information.
1. B;ue.
;:.. Q.)ld
3 Yrllow
rl\!
C;ly
Applicant
FIXTURE UNITS
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QUH!l~i~v TVJJe u{ Fixlure Qucm\ilv TVPl;1 Qf Fixtyre
~- ......._~--~- ----.-----.--- -
Bath Tub with or without shower Rough-ins
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Ulshwasner Water Heater
Floor Drain J- Water Softner
Lavatory (batnroom sink) Stand Pipe (washing machine)
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I i'l1lnrtry Tray (1 or? r.nmI1Flrtmp.nt sink) Sewage Ejector
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Shower Stall Backflow Assembly (RPZ. Double Check, PVB)
-"-~-"--' .--- ------~_._~-- ----~--._-----.----~-.---.~--.-~----~-~-rlC!" ~
Cj~h~ iaoldlow l\ooombly T 00\
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Bar Sink lawn Sprinkler
------- --- .-.----.-
WCltcr Clonet (toilet) Oth~r
--- - ---------.-- -.*~tt1t..;
FEE SCHEDULE
Industrial, Commercial &. Multi-Family
(1% of job cost, $39.50 minimum)
Residential, New One & Two Family
!=\1OI,idQntial. Addition.. & AltQrCltioM
State Surcharge
$99.50
$39.50
$
$
$ Jtl~
$ _ .50_
(';RANO TOTAL
$1:JJ2. 0Sl_
Thii pilrmil ii gr:lntlld upon tn4 ilxprlltf. condition th:1t t:lid
conlractor. shall comply in all respects with the ordinance::.
of Il1e Stille Plumbing Co the amendments thereof.
~7~ L__ REC --1Q:PZ-~()L DATE
ATTEST
Call fOf all ins tions 24 hours in advance.
1 ~')(\() P:.l~lf': Ct'eek Av. S.E., Prior Lake, Minnesota 55372 f Ph, (612) 447-4230 I FAX (612) 447-4245
CITY OF PRIOR LAKE
INSPEC1;ION ~OTICE
SCHEDULED
TIME
/1-1-/ ~;oD
DATE
ADDRESS
/7/iI1
OWNER
CONTR.
PHONE NO.
PERMIT NO.
(-II J~
o FOOTING 0 PLUMBING RI 0 EXIGRAD/FILLlNG
o FOUNDATION@ 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
'litJ:INAL 0 PLUMBING FINAL 0 GASLINE AIR TST
10 'SITE INSPECTION 0 MECH FINAL 0
COMMENTS: 1 rJ Sit :raR.
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l!. WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
'Mpedoc ~( Owne,lComr
CALL 447.9850 OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSI'IOTl