HomeMy WebLinkAboutPlumbing 99-630
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
5/78
DATE
SCHEDULED ~7~
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
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o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREV.
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLING
o LKSHOREnNETLAND
o COMPLAINT
o SEPTIC FINAL
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o CORRECT (CTION
o CORRECT IVORK NSPECTION BEFORE COVERING
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Inspector: . Owner/Contr:
.CALL 447~230 ~R THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQ'mJMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
The Cenl.. of the toke Counlry
Applicant:
Address:
CITY OF PRIOR LAKE
PLUMBING PERMIT PPNo.
5A l'C..er P 'lNW\b:-.-. Phone: ..h .
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Signature: ~....... I -:;-(J-
Legal Description: Lot /0,' / ( Block. Sub I/v () 6D At-€ /rT ,!ff;;b~
Site Address: 5/78' H;:y;Q. ~ + p", I(/') u., /VJ~ SJ.Jn.
Building Permit # qo/ ~ 3-d PID # 2~-030-0~-0
NOTE: This permit will not be processed without complete information.
1. Blue
2. Gold
3. Yellow
File /
City 'V
Applicant
CJ9- t?30
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~. 5"s- 37~
FIXTURE UNITS
Quantity
Type of Fixture
Bath Tub with or without shower
Quantity
Type of Fixture
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
S I.V"'\ P f> v.-. P
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
$
$
$ '~'r- ~.;)
$ .50
GRAND TOTAL
$ 4a. <.9-<)
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 ame06m~ thereof.
3~3"~~~F)rrNO. Ev..-, DATE
ILU rtVfUt-rt/Jf A TIEST
Call for all inspections 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