HomeMy WebLinkAboutPlg Permit 01-0687
11/12/99 FRI 10:19 F_~ 6124474243
CITY OF PRIOR LAKE
~004
CITY OF PRIOR LAKE
PLUMBING PERMIT
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Applicant
Address: .
Signature:
Legal Description: Lot _ [,'f Block _ ~ Sub 71 frzl;/Jt/JXJ:J,J2tJJiA,J ~t
Site Add/'ilss: < {OS 71/;F~ &'6-)/
Building Permitlt .PID /I ...J '5 -, <. {pO - fXJ 7 -0
NOTE: This permit wlll not be proce8Sed wtthout complete Information.
FIXTURE UNITS
PPNo.
COl11llle.r~ C:onditioned Hater Co I NlPhone: 612-7.
9150 W 35W Service Drive, Blaine, Mn. 55
TlIr (',..... 0(" 1..... c...... '1'
Quantity
Type of Fixture
8ath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 corT1)artment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
Quantity
Type of Fixture
1
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow AsserTtJly (RPz. Colblt 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
$
$
$ _1q &in
$ .50
GRANO TOTAL
$ 40. 00
This permit is Granted upon the cxpreS5 ~ndition tbat said
contractor. Mall comply in all respects with the ordinances
~J.\lIJ!P'hF\'Jing Code and the ammdment~ thcn;of.
L ""f7'lf 7Lf RECeiPT No.7-I 0 -{ D"TE
, s1C ... A TI'EST
Call for alllnspec~;;' hours in adv~ce.
16200 Eagle CreekAv. S.E. PriQr Lake, MN 553721 Ph (612) 447-9850 I FAX (612) 447-4245
An Equal Opportunity Employer
-,-_._----------
DATE ''''~-:.
"-,,
SCHEDULED 5-/L/.,:v -1/: '30',
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CITY OF PRIOR LAKE
1NSP~CTION NOTICE
ADDRESS
3os-r;
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:
f-6~{)
/
U~~
c. . C9se,
\~e
/-6?7
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
.~I
.,
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC~K, l'LL FOR REINSPECTION BEFORE COVERING
Inspector: ---F ~ Owner/Contr:
CALL 447.9850~OR THE ~EXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IHSNOTl