HomeMy WebLinkAboutPlumbing 99-616
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION"".--~' OOKUP
o FINAL PLUMBING FI
o SITE IN~ N ECH FINAL
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~ORK SA TIS A ORY PROCEED
o CORRECT ACI D 7CE D
o CORRECT WO , CA FOR R NSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447-9~i'~E NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
,
ADDRESS I 5 '1 30
5U/h/'~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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INSNOTl
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
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MAY 2 5 ~
"CITY 0: )RIO ~ LAKE
PLUMBING PERMIT
Applicant: !\k;f!..8LDJV1 FLJJ1'II>/Pt;
Address: Y- '1 () f=-, 6-!J!!=E.1 t;=l...- D A;k: <:"~
Signature: ~ ~uC. -
Legal Descri~~t . Block Sub
Site Address: .I '7~O :uJ~FI5fI bltJ<e::. ~ SE?:.
Building Permit # qt}- (pI h PID #_2.S~Dq.3-- OC8-0
NOTE: This permit will not be processed without complete information.
PPNo.
Phone: R2..7 -,,/033
1. B1110 Filo
2. Gold Ciry
3. Yellow Applicant
qq,&/(p
Tb. C"ntrr oJ Ihe Lake Country
FIXTURE UNITS
Quantity
. J : ','
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
Water Closet (toilet)
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backtlow 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
GRAND TOTAL
$
$
$ 39.60
$ .50
$ tj()p(Y)
.
$99.50
$39.50
This permit is granted upon the express condition that said
contractor. shall comply fn all respects with the ordinances
of the State Plumbi d an t amendments thereof.
3534S . ~2..S./!i!J-DATE
ATIEST
.......
spections 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