HomeMy WebLinkAboutPlg Permit 01-0202
The Center or the Lakr Country
CITY OF PRIOR LAKE
PLUMBING PERMIT PPNo. 0/- OZ02-
Applicant: DC\\fl d ma. ,to VifL, . _Phone: q6~- L/4C; ...()? 1 0
Address: Vj~j/[,)1(J)11c1 aV& fJE5 .,
rjJ.9nature: ~/P---nl-' .
Legal Des6rlptlon: Lot 8 Block 4- Sub SANL) Pol vi 2ND
Site Address: '111;4 < . ~
Building Permit # PID # 2.S - 205 - C3J, - 0
NOTE: This permit will not be processed without complete information.
I. Blue
2. Gold
3. Yellow
File
City
Applicant
FIXTURE UNITS
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)
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
$ '3'.SV
$
$
$
.50
GRAND TOTAL
$ 4()~rm
This permit is granted upon the express condition that said
'contractor, shall comply in all respects with the ordinances
of the State Plumbing Co e t amendments thereof.
~o 7 REC 3. z,"'!. 01 DATE
A ITEST
Call for all inspe tions 24 hours in advance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
ADDRESS
", ./) 7 3 t.J
, . r
SCHEDULED, 'I~)5 -01 /15
8,~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
01- d-O 02-.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
D MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
D COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
D GAS LINE AIR TST
o
COMMENTS: f/.J-()
--r~
;'
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~K, 'tALL FOR REINSPECTION BEFORE COVERING
Inspector: . D - \ CI..A.J..1.J Owner/Contr:
CALL 447-9850 FOR THE~EXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI