HomeMy WebLinkAboutPlg Permit 01-0880
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CITY OF PRIOR LAKE
PLUMBING PERMIT PPNo.
P . .
Applicant: ~ Phone: ~S"2-'J~e - O~
Address:rr~3 .H)'lYl D e.S~ih~ S'S.. .'-~b28,
Signature: '~ ,. -Pre.~. u--.--
Legal Description: Lot Block. Sub I
Site Address: 5300 \Jest"". DOd D~1"~1 P..ic., Lake. JtlJ....d~'31~_
Building Permit # tJ/-09J f1Pr) PID #_Z/3 -~-O
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Th. C.nl.. or Ih. uk. Counlry
Quantity
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
J
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
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
$ gq. SO
$
$
$ .50
GRAND TOTAL
$ ~O,OO
This permit is granted upon the express condition that said
contractor, shall comply i spects with the ordinances
of the State Plumbing C the amendments thereof.
4o..:uz.... RE O. ~701 DATE
./ ATfEST
Call for all ins tions 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
CIiN Of PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
g/'UJ 10/
A :-I'
ADDRESS
__5".300
uJ~ DR-,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
J INSULATION
lCFINAL
'J SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
tJl -- !?!'(J
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: H Wl...J.:tx"
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
'CORRECT WORK, CALL FOR REINSPECT,ON BEFORE COVERING
Inspector. q, QwnerlContc
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTI
_.-_.._.__.-._""_..,.._---~
DATE TIME
ADDRESS
Q36a
SCHEDULED r/2- ~(O I 6-,,17
044i-~ .
_" J>
CI~ OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
tJ
(!)/,- f gO
o FOOTING (@j
o FRAMING
o INSULATION
FINAL
~ FOUNDATION
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXCIGRADIFILLING
o LKSHORENVETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
COMMENTS: ~ ~,
~=~)
~~-~,...:~.,."""_..,..,.".,_.-.~......;.:.-.......:.,.;'~..,....-
)f}vORK SATISFACTORY, PROCEED
( ~... :ORRECT ACTION AND PROCEED
o CORRECT WORK~,FOR/ REINS,PECTION BEFORE COVERING
Inspector: ,V7. Qwner/Contr:
CALL 447 -4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!