HomeMy WebLinkAboutPlg Permit 01-0108
CITY OF PRIOR LAKE
Tht Ctnltr of Iht takt COUnlfy
PLUMBIN~ERMIT
Applicant: ~C '.
Address: j~7c;r(/ .2rA-l"'~ ~
Signature: ~~ u--/ ~ ..J
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Legal Description: Lot / ~ _ .JiJlock
Site Address:-ft<t1 ~...-J/ ~J'
Building Permit # .PID #
NOTE: This permit will not be processed without complete information.
PPNo.
Phone: 10"
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Sub
FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Rough-ins
Water Heater
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
)c1
I
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
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
$
$
$ 3't )0
$ .50
$ 40.-
GRAND TOTAL
This permit is granted upon the express condition that said
contractor, shall comply in all respects Wit~.h e ordinances
of the State Plumbing Code and the ame/:J.d nts thereof.
34.03.t- RFppIPTNO. Z/~-I D\ DATE
~D f(f " ATTEST
. v .
Call for all inspections 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
DATE TIME
CITY OF.PRIOR'LAKE
INSPECTION NOTICE
SCHEDULED
2- l,O. 07...--- j: I C-
ADDRESS
4430 .o"q):::.-tJ-;A 5/.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
/~ /08
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
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~ GASLINE AIR TST
~ .J-Iz 0 SOP-;-.
COM_MENTS:
(r~~~~~~
\}..{J ,~- ~~ \~ l
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
f CORRECT WORK CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
V -
CALL 447-9850 F THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF' PRIOR LAKE
INSPECTioN NOTICE
SCHEDULED
ADDRESS
4L13Q DAK.OTA
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
~?~~.
.'
COMMENTS:
DATE TIME
'Z-'2/. (j 'Z.
/: /S
0(---0108
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
)4 H7,Q S'(UT;
/'
~RK SATISFACTORY, PROCEED
o CO~~ ANO PROCEED
o COR CT K CALL FOR REINSPECTION BEFORE COVERING
Inspecto .: Owner/Contr:
CAU7.~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI