HomeMy WebLinkAboutPlg Permit 01-0504
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CIT\ OF PRIOR LAKE
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City
Applicant
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Quantity
CITY OF PRIOR LAKE
PLUMBING PERf:AIT PP No Ol.--L25 cf!f
APplicanl:~~\-OuJ ",\ ~ n-..b / tt.~~- __phone:4fI/If.~i~-"'.- ~J.:;L.7 .-
Address. ,,~_v, ,tbu'" :>"0- ---- - - ---- -
- ~~;~t~:~ - Lot __~__=--BIOCk _=--=~Ub f1.L <;-Jb___ - -
Site Address:~'i.!:L':/ - r.5(i~:._.~r .:sL-..---.---------..---.- ._m-
Building Permit. ___- _ ____----pIO .as-ISLf-::et'J'I:O
NOTE: ThiS permit will not be processed without complete information.
Type of Fixture
FIXTURE UNITS
I
Type of Fixture
~..__.._-_.
Quantity
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I Bath Tub with or without shower
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Rough-Ins
Water Heater
Water Softner
stand Pipe (washing machine)
--...-----
-.-.----.--
Dishwasher
- .-------...--
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
--
Sewage Ejector
Backf\ow Assembly (RPZ, Double Check, PVB)
---.....
Backflow Assembly Test
Sinks
-_.__..--~--
Lawn Sprinkler
other
Bar Sink
---.---. ._--
;;z
Water Closet (toilet)
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 OJ,, of lob cos\' $39.50 minimum)
Residential, New one &. Two Family
Residential. Additions & Alterations
state Surcharge
$ ------.--
$ - -.----
$ ._~;:Fl. S Q
$ ___.50-
$99.50
$39.50
GRANO TOTAL
$ ~Li~<._QQ
This permIt IS granted \.lpon the express condillon that ~ald
<;:ontraclor, shall comply ,n all re.spect5 with the ordInances
o!..thc Slal.e p.lumbing C. od~ and Ihe amendmen..ts th7CQf
3:J~~ k._ RcCEIP'T NOD !j.~d2::!2 DAn:
~. /. ATIEST
- Call for all inspeClio-ns Yhour:~;~dvance
\6200 Eagle Creek Av. S-E- Prior Lake. MN 553721 Ph (612) 447-9850 1 FAX (6\2) 447-4245
An Equal OpportunIty Employer .
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
9/S/0/ ///0-4
ADDRESS
t, 0/'-1 LJ
/ S-O 'tf:::. JI. I
OWNER
CONTR.
PHONE NO.
PERMIT NO,
() I ..... 5a y
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
(p)
;gl PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~~
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~I
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CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Inspector:
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTJ