HomeMy WebLinkAboutPlg Permit 01-1099
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3. Yellow Applic:lllll
PLUMBING PERMIT PPNo. CJr~ /091
APPlicant:~~ O~~a &. Phone: CJr.J.-vl.//J --2Jt1hd.
Address: 77SI..(jc/~ 11{/~J4J' .:J~.~ ~V~_~
Signature: Yazi1,,~-) A~~ t
Legal Description: Lot Block Sub
Site Address: ,5'IJC[n {J1Af--(l.o.~ut-u:?" O/;{ d~.
Building Permit # PID #
NOTE: This permit will not be processed without complete information.
"
CJt~ ;,(~.
CITY OF PRIOR LAKE
TIIo Conlo, of Ibo Llk. Counlry
FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment 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)
Back1low 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
$
$
$ _?1e So
$ .50
GRAND TOTAL
$
L/4 &0
This permit is granted upon the express condition that said
contractor, shall comply i"n all respects with the ordinances
of the State Plumbing Code and the amendments thereof.
4D lD5CRiff-IPT NO. /~-'1-0/ DATE
G (/---I.A'~TIEST
Call for %inspections 24 hours in advance.
16200 Eagle CreekAv. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opponunity Employer
SCHEDULED * /i.,<-.j
~cku
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
5%90
OWNER
CONTR.
DA TE TIME
PHONE NO.
PERMIT NO. -Lt2I- (c> c; q
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
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 GAS LINE AIR TST
o MECH FINAL 0
b~ _f{iJr,e-/Y
COMMENTS:
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~RK SA TISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT j1/R~~ FOR REINSPECTION BEFORE COVERING
Inspector: }' tI r Owner/Contr:
, ,
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
J/VS/VOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!