HomeMy WebLinkAboutPlg Permit 01-0528
05:06/99 THr 1101 FAX 612~~7~2~5
CITY OF PRIOR LAKE
4D 001
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CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant:. C ~u+'- /'l"U~k,,-("~~ Phone:
Address: 2/ ~CJ 5' LA0h~;'--c/ ~
Signature: /74!-r7 ~ < ~,~
Legal Descrlplion' Lot {/ Block If SUb~ !i,'dc:JV ~
Site Address.~ ~7 7;:L t:!.r~~t/E h c/,...oIL ...51- -> t:--_u -- -- (j
Bui~ding Permit # .PID t/;:).S -.-;; ~_QSh.1~
NOTE: Ttlis permit will not be processed without complete Informalton
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FIXTURE UNITS
Quantity
Type at Fixture
Quantity
Type of Fixture
Dishwasher
Rough-Ins
Water Heater
Bath Tub with or WIthout shower
Floor Drain
Water Sottner
Bar Sink
I
Stand Pipe (waShing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check. PVB)
Backflow Assembly Tesl
Lawn Sprinkler
Other
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Water Closet (toilel)
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
$
$
$ .57, ~
$
.50
GRAND TOTAL
$ 41t::?... m
Tnl' pcrmll IS granted upon Ihe expreSh cOlldl\IOn thaI said
COnlraclor. .,h~11 comply in RIJ r('<pecl< wl\h Ihe (lrOll1allCO
Oll.~~'tc Plumbing Codc anu Ihe a~"dmenl< Ihereol
:::J'1~ S$ IHoU:WT NO ..!;p/~1 /0 I DATE
~.
_ A TTT:OST
Call fOf alllrlspcclIons 24 ours In advance
16200 Eagle Creek Av S.E.. Prior Lake, Minnesota 55372 / Ph. (612) 447-4'2JO / FAX (612) 4474245
An Equal Opportunity Employer
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
(q11
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TillE
~CHEDULED X,)j
Cr()r;s &Vt~~
CONTR.
PERMIT NO. n J. - 5",-r
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: .~ g- - J.; 7"" ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI