HomeMy WebLinkAboutPlumbing 99-0066
cr~'Y' OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS / ~ 3 t:, 3
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
/,,1t;-~
d~ O~J
DATE TIME
SCHEDULED
~-IZ- -99 Ill: PC)
A lHtJiJAtJ
CONTR.
PERMIT NO.
19 -h~
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL ~ 0 GASLINE A~
o MECH FINAL ~~~.. r
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L SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WZ.CA, LL FOR REINSPECTION BEFORE COVERING
Inspector: V) 1 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl
CITY OF PRIOR LAKE
PLUMBING PERMIT
AppliCl: GUTZKE, ROBBIE
Add res 16363 MAN DAN AVENUE SOUTHEAST
n, c..w of lilt Lake Connlry . PRIOR LAKE MN 55372
17 Slgnatl (612) 447-62~8 t' -">
t'JD(2.. t2.> (...::> yY\ rc......h'b^->> Legal [ L- '-t"
''VtO - 0A12-f\e<-v I / Site Ad\".___. · ~ -
dA .., "ltJ 7. Building Permit # .PID # 1'1..'7 - Ol" .0 '1.-1-0
rr\( fJN~t;)l./(~, (l1N C;.,4 ~OTE: This permit will not be processed without complete information. ~
k,( 1, - 8?" ( _ 4os~ FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
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
NORBLOM PLUMBING CO.
DBA VENTOO/APPUANCE INSTALLERS
(812) 827-403S
2905 GARt-U:iLD AVE. SOUTH
MINNEAPOLIS, MN 55408
GRAND TOTAL
1. Blue
2. Gold
3. Yellow
File
City
AppIic:aDt
pp No. 'i~.. 0 O~ '"
Phone:
e>
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:z, Sub ?>~ to::.~V I t..J_e-~ Ztf
Type of Fixture
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
$
$
$ 29,5"0
$ .50
$ 'It), {)CJ
This permit is granted upon the express condition that said
contractor. shall comply fn all respects with the ordinances
of the State Plumbing Code and the ~mfndmep.ts thereof.
'$4- ~ I R~~~ NO. ~ "Z.-.., lC,c;L DATE
(Lf)(~ ArrEST
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