HomeMy WebLinkAboutPlg Permit 01-0754
Th. C.nl., or lilt Lak. Counlry
Quantity
PPNo.
1..
2. 001d
3. Yellow
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PLUMBING PERMIT
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641 tf
APplicant:
Address:
Signature:
Legal Description:, ~~t/i III"" _ # & __./ ~~ock
SiteAddress:..ltJ~.tJt. ~~
Building Permit # 01- 0-754- PID # z..s -I P(7 - 02-4-- - 0
NOTE: This permit will not be processed without complete information.
Phone:
.0t7
Sub
FIXTURE UNITS
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)
Quantity
Type of Fixture
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
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
$ :3-9.~)
$
$
$ .50
GRAND TOTAL
$ 4o.U()
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the. State Plumbl";tng ~e.91 mn~"-~ fu=of
LlC7S 4- ,pt'I;N. ,.20. v / DATE
. . ~ ATTEST
Call for all insrj:tions 24 hours in advance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850 I FAX (612) 447-4245
An Equal Opportunity Employer
~
.oCfT\' OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
Z.Z7.d2- 1:1'r
ADDRESS
.s4/Cf UiJ.s.sItN~
J
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
~ tt&.() C'oFl
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('.VJ -oM
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING ~
o INSULA TIO
FINAL
~ SITE INSPE ON
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
11/
Jt"
1- 75+
!'! WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~ALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ~ . Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI