HomeMy WebLinkAbout04-0585 Plumbing Permit
DATE TIME
CITY OF PRIOR LAKE #y
INSPECTION NOTICE SCHEDULED
ADDRESS S?t/ $j/~ c>;/fr
OWNER CONTR.
PHONE NO. PERMIT NO. oy-s:rr-
o FOOTING o PLUMBING RI o EXIGRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
cL/~~) //1/6'
~ -'"
~.#/<: ~ /..
, ;/
"t:J ?:: .:4; w r.".r ./
~~C/ ,/
/."z '"
U;;',~~/;,.-
-;
~
~ORK SATISFACTORY, PROCEED
~ ~-~RRECT ACTION AND PROCEED
o CORRECT WORK. ;~~~REINSPECTION BEFORE COVERING
Inspector: r~ Owne rICo ntr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!
INSNOTl
Th~ C~nt~r of th~ L.k~ Country
Applicant:
Address:
Signature:
Legal Description: Lot
Site Address: ~ /
Building Permit #
NOTE: This permit will not be processed without complete information.
CITY OF PRIOR LAKE
PLUMBING PERMIT
~ I"" t/--~,., s P!v"" ~ ,-" f
3/S- .:rv/1~ L~ne-
~ ~--
'"~ Block .:L Sub ~<W~ /:r-
~~ ~s 1!1'r6/e-
1. Blue File
2. Gold City
3. Yellow Applicant
# () 4-- 6~5"
Phone: ,;76'.?-~7.s--r::Jz.,?6
UPRl~
e~
PID# &5-- () /lj- OJO--{)
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
Water Closet (toilet)
!
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler Yeu:>>IJM Br-~e(--
'Other ~ 1-0 r-
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
$
$
$ ~,~
$ .50
GRAND TOTAL
$ ftJ. {)1)
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing Code and the am~ndments .tl)ereof.
l{0C11D RECEIPT NO. 0- /5-4 DATE
11 AnhST
Call for all <%;ections 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