HomeMy WebLinkAboutPlg Permit 01-0116
CITY OF PRIOR LAKE
PLUMBING PERMIT
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Applicant: N!)r<ALoIf/J r L-JJ1'16lJJt~;
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,,91:J GI (+"1 "ill",; >'~
Site Address: PRIOR ~~;;~ ';,:[r<"'~:':)T' .
Building Permit # (8521440-2042 0/-(')/ / h PID # 25 -/80 - 0013-0
NOTE: This permit will not be processed without complete Information.
FIXTURE UNITS
Tho Con.., oJ tho Lak. Count.,.
quantity
Type of Fixture
Quantity
Bath Tub with or without shower
Dishwasher
I
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
Stata Surcharge
$99.50
$39.50
GRAND TOTAL
1. Blue
2. Gold
3. Yellow
F.1e
CIty
AppliCllllt
PPNo. 0/- 011 (p
Phone: R2-7 -"fO~~3
<::'-,r::>
Sub
rJH6AJ ~~ /rr
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
$
$
$ 3~So
$ .50
$ !:/f) JX:;
This permit is granted upon the express condition that said
contractor, shall comply i'n all respects with the ordinances
of the State Plumbing Code and the amendments thereof.
3'10-1-'1 RE~M. -z.,-U-O/DATE
~' ATTEST
Call for all ins~ctions 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
C-tTY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
4. s.l) /
3'~ 3<)
ADDRESS
59/0 GUJ,ev C-/e..
,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
Of-Oil&;
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
,J( 1-17_ 0 fH1I!L.
COMMENTS: "-,,,'''''''''~''''''''- 'n9,... ~ ".-c.
w.... ~ ,1",1 t ""'
C.~ /~jr1 ,-'""~',
p
~~... ~_t"'it!...
-c.--"'-""~~~1r~"'~~-:~~:_'.t...-.T'::,:,
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
){1WORK SATISFACTORY, PROCEED
10\1 CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 to~ THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI