HomeMy WebLinkAboutPlg Permit 01-0766
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CITY 0 : PRIOR LAKE
PLUMBING PERMIT
Applicant: NtJr<ALDIV! FLJJflIIYJJt; Phone:
Address: -Z. <:J 05. 6 A1!...F"/6"c.... (') ~ ~~
Signature: 1Il. ~ ,,,
Legal Des~riptiO.: fot 1 " , j<: Mb N1-fL qu--
Site Address: RANDALL. ROBERT .
Building Permit # , 14i1Q. BLUE~IR[) TRAIL NORTHEAST ~ -'3(,.. 2. - 60 (-0
NOTE: This permit will not b. .PAIQR LAKE.. MN 55372
'(952) 233-3777
FIXTL....;;. _... ._
I. Blue Rle It;.,. ,..J.-J--
2, Gold Clty...j
3. Yellow AppUC&Dt
f'PNo.(9J- 7~'.
R2.7 -"IO:"~3
,q~~lty .
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)
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (APZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industria', Commercial & Multi-Family ,
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$
$
$
.50
GRAND TOTAL
$ '-If). CI:)
This permit is granted upon the express condition that said
contractor, shall comply fn all respects with the ordinances
of the State~mbing Code and the amendments ,tjlereof.
Ua/~1 RECEIPT NO, '/-.J.-?>-O/ .DATE
L!, '!'..--'. A TIEST
Call for all inspections 24 h~rs in advance.
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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
OA TE TIME
SCHEDULED It'~~~
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~ 40
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS: I
Y~€JU
- - -
t)I\ ~
o PLUMBING RI
o MECH RI
o WATER HOO
o SEWER HO
o PLUMBIN
o MECH FI
..
{~7~
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
,1 ,
'W1..~ ~
V
_0 )'ORKSATISFACTORV, PROCEED
VCORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!