HomeMy WebLinkAboutPlumbing Permit #00-0475
.. .C.In:DF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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ADDRESS 254..!::U LSJ1 HI ~~ fLJ- ~ e
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
APO
CONTR.
PERMIT NO.
~-6 LF?"
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 FINA~~D ASLINE. A.IR TST
o MECH FINAL L 0. .v ~
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')1/ WORK SATISFACTORY, PROCEED
/ 0 CORRECT ACTION AND PROCEED
o CORRECT WOR~KCA L FOR REINSPECTION BEFORE COVERING
Inspector: (Owner/Contr:
v
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
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INSNOTl
The Cenler of the Lake Country
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: &Jlchee. ~S'fad
Address: ~ L.l4 \ , S7) 't1\ _~t ~ F
Signature: ~ I?~h<</
Legal Description: L;;{ ~ Block I Sub '" ~ h-n m \ ~l-. A\l)N
Site Address: '5'-1 '1 J J s-om ~ } ~) e (
Building Permit # ffi) - OLf?~ PID# Q(S"- a4d-OOd-D
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
1. Blue
2. Gold
3. Yellow
File
Oty
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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)
Quantity
Type of Fixture
/
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
$
$
$ JCf. SO
$ .50
GRAND TOTAL
$ Jy(), dO
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing Code t e amenjlment thereof.
~ ~ RECEI N. ~/1. _ DATE
o!ifjn.;.&. I TIEST
V : all inspection 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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