HomeMy WebLinkAboutPlg Permit 01-1118
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: ;r1 J ~ f ~ ~
Address: f~;) s xe-rz~ ~
Signature:.~~ ~ _
Legal Descriptio~ Lot ~ J ~Iock 1, . SUb~ n J W ~cl tv'-
Site Address: J 61/1 0 ~s,q J ~ J, 5 'E 4
Building Permit # '" PID #:::;t; l}oCi - 0 t 1-0
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NOTE: This permit will not be processed without complete information.
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Phone: 9 f? !I,
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Th. C.nr., of lh. Lob Counl/'}'
FIXTURE UNITS
Quantity
Type of Fixture
Bath Tub with or without shower
Quantity
Type of Fixture
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
I
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
$99.50
$39.50
$
$
$59 . 5\0
$ .50
GRAND TOTAL
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This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing Code and the amendments thereof.
I/IJ& (1) RECEIPT NO. J (J-q-O) DATE
~ ~ ATIEST
Call for a4(inspectlOns 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
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDA rlON
o FRAMING
o INSULA rlON
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED
2-J-O
ICO~o
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CONTR.
PERMIT NO.
01- (/lY
~
o PLUMBING RI 0 EXIGRAD/FILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0
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;K WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: vtf? )- 2tJ-o 1- Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI
INSNOTI