HomeMy WebLinkAboutPlg Permit 01-0307
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CITY 0: ~ ~ 0 ~ _A {E
PLUMBING PERMIT
Applicant: AhMLD#'1 J-LJi1'II'7IJ.k;
Address: Z. ~05 6ft;(....FU:(;<""-D rftJE;
Signature: ~ ~
Legal DescriptIon: LOI <t' d-
Site Address: HETLAND. MARK
3310 BALSAM STREET S.W.
Building Permit # PRIOR LAKE. MN 55372
NOTE: This permit wi (952) 440-6855
I. Blue F;,!e
2. Gold City
3. Yellow AppliClUlI
PPNO..CJJ- ~o1
Phone: R2-7 -LjO:"''33
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ion.
"IX I UHt:. UNII ~
Quantity
Type of Fixture Quantity I Type of Fixture
Bath Tub with or without shower I Rough-ins
Dishwasher I I Water Heater
Floor Drain ,I Water Softner
Lavatory (bathroom sink) I Stand Pipe (washing machine)
Laundry Tray (1 or 2 compartment sink) I Sewage Ejector
Shower Stall I Backflow Assembly (RPZ, Double Check, PVB)
Sinks I Backflow Assembly Test
Bar Sink ,I Lawn Sprinkler
Water Closet (toilet) I 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
$
$
$ 2f:{. 5D
$ .50
$ I-/()~CO
.
GRAND TOTAL
This pennit is granted upon the express condition that said
contractor. shall comply i"n all respects with the ordinances
of the Slale Plumbing Code and the amendments/hereof.
.::3 g 3~ a RECEIPT NO, L1-I-:S -0 f DATE
/i_(1 J ATTEST
Call for all inspec~ns 24 hours 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
SCHEDULED
ADDRESS
.~-=3/0
75,q L-S/91'1 Sf.
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
COMMENT~:
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DATE TIME
5,e.o/ 4-:crv
OI~0307
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
(\.13, GAS LINE AIR TST
t1'~ -1=:11:. ("') I-t' r<.. .
Leok~
/
rORK SATISFACTORY, PROCEED
o CORRECT ACT~O AND PROCEED
o CORRECT WO , ALL FOR REINSPECTION BEFORE COVERING
Inspector: ~-' ~ Owner/Contr:
CALL 44;-9850 FOR TH~EXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!