HomeMy WebLinkAboutPlumbing 03-0002
DATE TIME
CITY OF PRIOR LAKE " h"7Lt. I): "...
INSPECTION NOTICE SCHEDULED '~ "u
ADDRESS /L/,:;q~ .~~~ ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
() ~ - boo 2-
o FOOTING
o FOUNDATION
o FRAMING @
o INSULA TIO
.Jin FINAL
o SITE INSPE TION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS: ~~~ ~ uJ.~.
p
(:;~ ~h
;l! WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
[n"octo" ~. awn"ICon'"
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
v
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I. Blue File I PERMIT NO ~
2 Gold City . A 3 - ()OO
3 Yellow Applicant U
(Please type or print and sign at bottom)
ADDRESS
141-4q FOuntttin t-tGLlS t-+-.
J
(372- )
ZONING (office use)
TGif
LEGAL DESCRIPTION (office USe only)
I LOT i1 BLOCK---3 ADDITION--;Z-t'U1t 1t2vn' d Lih
,
aNd-
PIu;25- 390- 65<6--()
(Address)
~leicL1 ~L-K
(Sa.m<-
(Phone) f}Sz -800- f075'2-
OWNER
(Name)
as ~bo~)
APPLICANT
(Name)
(Address)
CULlI~AN ~ATER CONDITIONING
-300 ,-,ULLlGAN WAY
MINN~TONKA, MN 55345
(Address) \.~o.:::) l:f33.7200
(Contact Person) --Pa:+i ~(~f
lPLICANTSIGNATURE /Jat<-' /2Uf!/ul
(Phone)
(City)
(Zip Code)
(Phone)
DATE
i 2--/7-02-
Quantity
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backtlow Assembly
Backtlow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $ 1-Ci.J ---
Building Permit #
~..10ffice Use Only)
'his Application Becomes Your Building Permit When Approved
Paid
3q.~
.50
40.W
'-/{) I oV
J- / -03
Rec2l"~7;td
By f.lU
:J
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
Date
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 4474245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714