HomeMy WebLinkAboutPlg Permit 01-0529
OS'06/99 THr 11:01 FAX 612~~7~2~S
CITY OF PRIOR LAKE
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CITY OF PRIOR LAKE
PLUMBING PERMIT
APPlicant:~<<~. ~~~~d Phone:
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Site Address. ,/J9 ~/ C~.2>A-~_ cS~ S"F
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Address.
Building Permit #
NOTE: This permit will not be processed without complete mformation
FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or Without shower
Rough-Ins
Water Heater
Dishwasher
Floor Drain
Water Sot1ner
Bar Sink
/
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backtlow Assembly Tesl
Lawn Sprinkler
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Water Closet (toilet)
Other
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FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost. $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
$99 50
$39.50
$
$
$ 3?, pC)
State Surcharge
$
.50
GRAND TOTAL
$~~C{)
Tn" pcrmll 15 granted upon Ihc cxprcsh conditIOn thai said
conlractor. ,Iholl comply in ~II relJlectl with the (lrdin;)IICC~
nl Ihe SWIC Plumblllg Code and the Oll cnd, cnll Ihereof
37(,5<6' IU:CElrT NO.G ~(, '0/ DATE
ATTT;ST
Call for all InspcclIons 24 OUf$ 111 advance
16200 Eagle creek Av S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 4474245
An Equ<ll OrrOr1tJnilY Employer
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHE~ULED
ADDRESS
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
&'i/7~~
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o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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o WORK SATISFACTORY, PROCEED
r;;P60RRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
.lI/I.t? 7 r rI7
Inspector: II /II ~ J 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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