HomeMy WebLinkAboutPlg Permit 01--0891
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CITY OF P ~IO ~LAKE
'. .. PLUMBING PERMIT
Applicant: NtJ(<.8wlf/I f'LJJPlhlJJt; Phone:
Address: -Z-<::]()!S. ~~/61....D ~~t>
Signature: ~~
Legal Desc~ L;t Block
Site Address:
Building Permit #
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS ::pz,5 ,()fi{)- (J().!S'-O
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R2.7-o/0':~3
QUAN. MfNH
5262 FROST PO~TC~RLCE
PRIOR LAKE.MN 55372
(952) 440-8868
Quantity
Type of Fixture
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)
FEE SCHEDULE
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
I
Industrial, Commercial & Multi-Family .
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$
$
$
$
,50
$99.50
$39.50
GRAND TOTAL
$ Jj().CXJ
--l.
This pennit is granted upon the express condition that said
contractor, shall com I fn all respects with the ordinances
of the State Plumbi the amendments thereof.
4-'037/ O. ~"'OLDATE
ATrEST
Call for all in pections 24 hours in advance,
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II I -I 2001
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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
SCHEDYLED
,..-
ADDRESS
,
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r-
OWNER
CONTR.
PHONE NO.
PERMIT NO,
f)f - 8'11
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
IIfI FINAL
Id' SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: ~~ ~.
.~
r1k -~~
'i WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR RElNSPECTlON BEFORE COVERING
Inspector: ~ I Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH" SAFETY!
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