HomeMy WebLinkAboutPlg Permit 01-0745
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CITY OF PRIOR LAKE ~: ~r~ E.1I'
PLUMBING PERMIT PPNo.CJ/-D1yg
APPlican.t,XlAmm fl'luh(l{l'lcaJ tm~Y ~~,~'~ ·
Address: l~lJCq . ~~rL -If II . . '.~ 1) /!15.~~7
signat~..-J,Jf~. J
Legal Description: Lot 9.-" - Block / - I Subf htCkJ ::l..~
Site Address: l~d.Q~ ~ I ~ . _
Building Permit # PID #~ 5 - 30?3 -(,XY1-o
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Th. C.nl.. of Ih. Lltk< Counlry
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)
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, 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/.50
$ .50
GRAND TOTAL
$~.OD
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing Code and the amendl}l~ts tl};reof.
41//t.f.h RECEIPT NO. '1-t"1-Ot DATE
-, r"e _____. A ITEST
Call for all inspections ilhours in advance.
16200 Eagle CreekAv. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
DATE TIME
CITY OF PRIOR LAKE
INSPEctiON NOTICE SCHEDULED I "d 7-03
ADDRESS /5 d;;J.S W~ I1C:uc-
OWNER CON~
PHONE NO.
PERMIT NO.
1- 7LjS-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER H KUP
o PLUMBING' INAL
o MECH FI
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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,
COMMENTS:
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORR ~_Ct RK, CALL FOR REINSPECTION BEFORE COVERING
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Inspector:\ Owner/Contr:
-/
CALJ ~~850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE !eQUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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