HomeMy WebLinkAboutPlg Permit 01-0480
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CITY OF PRIOR LAKE i: ~::L
PLUMBING PERMIT
Applicant:Kutmrn ffierhrtn'j erd t1nh". .
Address:~ ~J\ rn
signature:-f:~~r?d ~~ /
Legal Description: Lot g- Block /i SUb~A~ ~ If...W::..
Site Address: 44, q r t)1 f h mf'/ n l 1<
Building Permit # PID #:1 t:;' - ~/l/- tJ. if?-()
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
The Center of the Lake Country
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
$
$
$ 30.60
$ .50
GRAND TOTAL
$ 4000
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 amendments thereof.
tit) a0 RECEIPT~3qlp 15" DATE
---5'::lJ-O I .' ,,-/ ATTEST
Call for all inspections 4 hours in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612'
An Equal Opportunity Employer
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GAS LINE AIR TST
o MECH FINAL 0
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CITY OF PRIOR LAKE
INSPiCTI6N NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE
SCHEDULED ! -;1. g~O-3
I-!L(/q (?0()(1k11M ~
CONTR.
PERMIT NO.
/- dtf'O
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K SATISFACTORY, PROCEED
ORRECT ACTION AND PROCEED
ORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
ector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI