HomeMy WebLinkAboutPlg Permit 01-0363
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: !JIJr<AI.pJf/1 fL();fI/h/).k;
Address: -Z-Cj(J~ ~fG(....D ~
Signature: , r: /5"( 0 J __.1 J j
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Site Address:_ 4322 BASS STREET SOUTHEAST
Building Permit PRIOR LAKE, MN 55372
(952) 447-5924
NOTE: This pel
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FIXTURE UNITS
,O,van~lty
Type of Fixture
Quantity
8ath 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)
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
GRAND TOTAL
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Applicant
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ormation.
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
$
$
$. ~9,5b
$ .50
$ !i()pC()
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 th;reof.
,~ 9 5" 0'1- RECEIPT NO. t/" db-Of DATE
Gte ../ ATTEST
Call for all inspections 2Uours in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
SCHEDULf~ ~-Ll/~(
LIB d-~ RCLf;S
TIME
/1;36
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1-3~ ~
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
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT~ :A't~OR REINSPECTION BEFORE COVERING
Inspector: t: ~_~'owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FO~ YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ