HomeMy WebLinkAboutPlumbing Permit #00-0019
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CITY Of PRIOR LAKE
INSPECTION NOTICE
SeHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
COMMENTS:
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DATE TIME
oo-o()/9
.I
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
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TISFACTORY, PROCEED
TION AND PROCEED
R EC r WO K, CALL FOR REINSPECTION BEFORE COVERING
Ins )ector: Owner/Contr:
CAL~850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
\CODEkQUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFE~I
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CITY OF PRIOR LAKE
PLUMBING PERMIT
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Applicant:..5~" b"o,.1 I~*l ("0. UU" -
Address: EIIf-/",iA ~. Ai.bJ.
Signature: ? ~ .J..I\.n ,./] ~
Legal Description: Lot a - ,,"ock 2. Sub
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Site Address: L/5"J7 HW''''V1;tUll(''\AJ~D ~L . t?2xi.1Z ./~ 5.!;~/~
Building Permit # PID # ?h -.34-q - () IS-O
NOTE: This permit will not be processed without complete information.
Phone:
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FIXTURE UNITS
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Quantity
Type of Fixture
Quantity
Type of Fixture
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
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
Bath Tub with or without shower
Dishwasher
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
$~ro
$
$
$ .50
GRAND TOTAL
$Aii.o Q
This permit is granted upon the express condition that said
contractor, shall co I in respects with the ordinances
of the State Plumbi , alfendmrnts thereof.
-g~/CoO J.j/4 oc) DATE
1--- ATIEST
Call for all .
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16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer