HomeMy WebLinkAboutPlumbing Permit 99-0789
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
(p/;~m 01 :.3lL
/ /
ADDRESS
5" L./-o 9
/L/-o 77i ~ / .
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PERMIT NO. (/ qCj-.3~3
P\ ;c( PLUMBING RI I-h.. 0 t..1 N e:;
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
CONTR.
OWNER
PHONE NO.
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
o EXC/GRAD/FILLlNG
o LKSHOREANETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
COMMENTS:
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o CORRECT WOR :ALL FOR R PE~ ORE COVERING
Inspector:.) Owner/Contr:
CALL J47ko FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RVuIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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Th, C,nl" or Ih, bk, Counlry
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: (l, (l''s;'r<2 Vi r ~ J Phone:
Address: rYlt~s:- / m04At~etf.e;l AI" c--
Signature: (~(/_ . ->
Legal Description: Lot B / Block Sub ~~
Site Address: S ~O~ l4CYbt~. Jet
Building Permit # PID # L ~ . ~C:::.~ ecB -0
NOTE: This permit will not be processed without complete information.
1. Blue
2. Gold
3. Yellow
Fil~
Ci
App t
PP No. qq - 78q
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FIXTURE UNITS
Quantity
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
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Water Closet (toilet)
...
l '/-..-.. Other !JJ~ C.AJ v64-51~
(
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
$
$
$ '3'=t. S'fJ
$ .50
$ 40~CD
$99.50
$39.50
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbin 9; and the ame9dments thereof.
355?L?~ '-/24-/9'9 DATE
_~. , ATIEST
Call for inspections 24 hours in advance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
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