HomeMy WebLinkAboutPlumbing 99-1389
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
~('5; /6 I
It), ~o
ADDRESS S7(P 2.- l~c>~ &, S,~,
OWNER CONTR,
PHONE NO. PERMIT NO, 9~-13'?9
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING @ o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
~FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: LJ': ~,
(f!~~~ ~
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK LL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
CITY OF PRIOR LAKE
PLUMBING PERMIT
1. Blue
2. Gold
3, Yellow
File
City
Applic:ant
Tho Coni.. of rho Lib CoonlF)'
Applicant:
Address:
Signature:
Legal Description, at Block Sub MITES AND B()UNQ5,
Site Address: 57b2- /f;Ot!:> 6w-e.~ <S~
Building Permit # 9q - /397 PID # 25-Q;'5'- 001- 0
NOTE: This permit will not be processed without complete information,
FIXTURE UNITS
PPNo. QQ-/39C;
Phone: fol2 "~2.- 7- 40 3 3
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher / Water Heater
Floor Drain Water Softner
Lavatory (bathroom sink) Stand Pipe (washing machine)
Laundry Tray (1 or 2 compartment sink) Sewage Ejector
Shower Stall Backflow Assembly (RPZ, Double Check, PVB)
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39,50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
GRAND TOTAL
$
$
$ 3P(.SO
$ .50
$ 40.00
$99,50
$39.50
! ~ '
NOV t. 9
DATE
ATIEST
-
Call for all inspections 24iTOUfS in advance,
16200 Eagle Creek Av. S,E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer