HomeMy WebLinkAboutPlumbing Permit 99-1192
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
.
J-I- 00
OWNER
'IS?'i /~-r~
CONTR.
ADDRESS
PHONE NO.
PERMIT NO.
l' J/1;)
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
o GASLlNE AIR TST
o
COMMENTS:
WA S~
r
~~
b ~ ~ 't1-'I/o
)(wORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector:
~
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
08!03/9~ TrE 10:47 FA.\ ~1~~'T424~
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I ,.... File
1" Gold Clly
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PP No.l---9'c? -//t? 2-
",pplic:a"t..:w..o-hL Wa.k.r Tre.1.:tl'Ylent Phone: & I;).. ~ q 6:3 -410'-1- 3
Addres.: ~ /1'-18'-1 bnodl a~rL fo..-7h LcLLe v'/ Ie Mtd Issnl/4
Signature: ~ ' t. 0 ~ ^ U../ ,_
L.egaI OQaor on: Lot 5". ,Block 3 Sub K.Al((/$ H/f.,l- ~fCL)
BlteAddreu:--E.2.78 ij!rnrnJ()~'rcL tr..a.!..1 ~rlljr ~~J 55?12- 12../
SulldingPermlt t 9e;- ~ I PlD #I 2t1=) r .3 4-q ... OZ.O - <2
NOTE: This permit wIll not be proC8!1Sed wtthout comple" Information. I
I
"XTUREUNns I
Quantity Ty~ J Fixture
. CITY OF PRIOR LAKE
PLUMSING PERMIT
Tilt r..,,, " ,... LIII. COIIo'"
Quantity
Type of FllcturQ
L
Bath Tub with or without shower
Dishwasher
Floer 0naIn
Lavatory (bathroom .ink)
Laundry Tray (1 or 2" companment sink)
ShOMr Stili
Sinks
Bar Sink
Water Closet ,(toilet)
Rough-ina
Water Heatar
Water Sohr
Stand Pipe (washlnQ machine)
Sewag. Ej8CtOl' '
J
Blcldlow Aeaemblv <RfZ. Double Oheck, PVB) i
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Coml'll8rcial &. Multl.Family
('% of jOb coat, ..60 minimum)
Residential, New One & Two Family
AHldtntll.l, AdditiCns & Alterations
State Surcharge
GRAND TOTAL
$
$
$ 3'1. tj)
$ ,50
$ 40,00
$99.50
$39.60
.29.
ThiS j'Ie(ntit is &rlnlCd U?on t~ ell.pl'e~~ condition tblt said
col'ltractor. _hall e<ll\'lJ)ly in all res with &be ordinances
of the $tllCC bi n, C IIId lhtl C d tlIereof.
3~~ I rN DATe
I T
I
Call for all ;n.~pections 24 hours in advance,
16200 Ei\gle C~kAv.S.E. Prior Lake. MN SS372 I Ph (612) 447.~859' FAX (612) 447-4245
..,.. An Eqlllll Opportunity Employer '.' '. I
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