HomeMy WebLinkAboutPlumbing Permit #00-0230
t. 'TY OF PRIOR LAKE
PLUMBING PERMIT
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1. Blue File
2. Gold Qty
3. Yellow Applicant
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The Center of Ihe Loke Country
Applicant:
Address: .. ......, /
Signature: t.J /U-4-.,L~<~ U ~-~
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Legal Description: Lot --:::s Block Sub #tJlf!ltI..sIIO~
Site Address: 5.3.../3 /4677-1 5/ A./~
Building Permit # !J(J,-()2ZQ PID#25-n~-D-.03-0
NOTE: This permit will not be processe~ without complete information.
Phone:
FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Type of Fixture
Dishwasher
Floor Drain
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
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
$ 3l. 50
$
$
$ .50
GRAND TOTAL
$ 40. ad
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumb~.ng 0 the ;;dmerys thereof.
~ I /fc;~ R NO. '/4--/()O DATE
,
. .--- ATTEST
Call for all i~ctions 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
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SC DULED
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ADDRESS
53/3
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o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
CONTR. ~O - r> z" 'Z- J
PERMIT NO. ~ :'oiK:w ~
o PLUMBING RI ...... ..... 8,,*8.IILt.lh~
o MECH RI 0 COMPLAINT
~ ~ WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP I t: 0 FIREPLACE FINAL
@ V PLUMBING FINAL ~(2) 0 GASLINE AIR TST
/0 MECH FINAL 0
OWNER
PHONE NO.
..
COMMENTS: 0 ~ ~.
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o WORK SATISFACTORY, PROCEED 0"L --tv (!c.~~
~CORRECT ACTION AND PROCEED ~ ~
o CORRECT W~K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr: W--
.,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI