HomeMy WebLinkAboutPlg Permit 01-0060
CITY OF PRIOR LAKE
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3, Yellow
Th. C.nl.r nr Ih. L.k. Counlry
ApPlicant:~':{;'Ji!M~T ~ Phone: j"s'..? '
Address: /6'79'p .~ ~~ I~ >-IL .r r,
Signature: ~~ C / )----G,~.
Legal Descriptio~: Lot - ~J9,t1~ Sub..... /J
Site Address: ./,? 1'137 r /,,.rk ~bd~ k~
Building Permit # PIO #
NOTE: This permit will not be processed without complete information.
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
/
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
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
$
$
$
$
.50
GRAND TOTAL $
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 thereof.
~B9~{~IPTNO, 2 f-ItJ.l DATE
\.If!! A TIEST
Call for all inspections 24 hours in advance.
16200 Eagle Ereek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
_~ 01: 28p
Chuck McFall
Z '12-0'
I~ () ~ I fI/lJ/G,TlfWOO 0 120
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
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:
OK~
DATE
TIME
z: 00
0/- 00100
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~ ~L1NE AIR TST
r< 0 .J()t:r ,p..-
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK,Ir::ALL FOR REINSPECTION BEFORE COVERING
Inspector: .E .. \t/).1}-J/ Owner/Contr:
CALL 4117.9850 FOR T~E NEXT INSPECTION 24 HOURS IN ADVANCE.,
,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
If'/SNOTI
(612)440-4425
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