HomeMy WebLinkAboutPlg Permit 01-0468
CITY OF PRIOR LAKEO(-~~i..
PLUMBING PERMIT # OJ
Applicant: e.~;to-I?QO-tev P(~. Ser"I~<'< Phone: 7&:. '[{(-?SSf
Address: (+~.30 J..i+k.)t 11-& No. . p~~~-t:iA, MeV. ss-v<l7
Signature: ~\1...:..uj.ctIfl . D:u.t.f T. LoLW\~~ '^" t "~5 W\ 1
Legal Description: Lot 1 Block OL Sub-W LRJ:Y.a "3..... ~
Site Address: .3 ;2,03 ~oocl. Dr...c:...k .() V'&'v-<,..
Building Permit # PID #{) 5- ~'11- 031-0
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Th~ Center or the L.kr Counlry
Quantity
Type of Fixture
Quantity
Type of Fixture
Dishwasher
Rough-ins
Water Heater
Bath Tub with or without shower
Water Closet (toilet)
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
-f Pres~ fac BreokoQv fav- ..J....1'"V'li.d-~~
*'
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
GRAND TOTAL
$
$
$ 31.$L)
$ .50
$ -i/o, cO
$99.50
$39.50
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
oJ,the State f'pmbing Code and the :Jfljm7ts th;reof.
-.:Jq~o '1 RECEIPT NO. ~ 6' DATE
. ~ ATIEST
Call for all inspections 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
..rl KE
.l'\IOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
.I
DATE TIME
SCHEDULED I ~8'-g
I_Q;;'o3- {~){YCJciOwJc Dr-
CONTR.
PERMIT NO.
1- t/6?
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 FINAL 0 GASLlNE AIR TST
o MECH FINAL 0
~~~
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IlIU'rl\JV
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, VWORK SATISFACTORY, PROCEED
/;;)ORRECT ACTION AND PROCEED
o COR~ORK' CALL FOR REINSPECTION BEFORE COVERING
Inspect r: ~ Owner/Contr:
C. ~50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE"
~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl