HomeMy WebLinkAboutPlumbing 03-0075
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
~
SCHEDULED
J--- II
ADDRESS
4 kfe
1>1 fvt ~Il L..(.-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
S - 7S-
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
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
H~o .Uul/~,~
. If-)
l!J/
/' 1_
CJLU5C.
~J
II vc-
LiB WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: nf ]...-Il~"j, Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
(Please type or print and sign. at bottom)
ADDRESS
~ j?fp
13; tUlCC<. Circle.
$. E,.
;:I~ ~::y PERMIT NO. /')2_()()r"7,S'
), Yellow Applicant (/ :.J /1'
Z(!7~ bce use)
LEGAL DESCRIPTION (office use only) )
LOT ( BLOCK~ ADDITION'/l_--r 'LlU1.sx!J~~
- {7~ a
OWNER" . Colle- v
(Name) LJc>~~k I.' eeAt\
(Address) tfi?fo .E,aA1cCt. 0'r. '$.~.
(Contact Person)
~.,- uPLICANT SIGNATURE ,~/~-- ~
/~~-
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)
APPLICANT ~ \ '\ \). L
(Name) I'\JO\O CI'W\. rlLUMU~~
(Address) 2905 DltUFhe.Jd ~e. ~o I
(Address)
Quantity
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
Estimated Cost $
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
~his Application Becomes Your Building Permit When Approved
Building Official
Date
PID.1iJ- 01/- O/3--I..?
(Phone) ,($2.) 'IL/I)'" 72t1c
(Phone)
M?\~
(City)
(~'2.) 821- t.f~33
55o/()8
(Zip Code)
(Phone)
/ / 8/1/3
DATE
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Building Permit #
5'.S6
.50
t.{ 0 .()b
Paid ,!O I -----
Date J - I~- 03
ReltP:\? 43
By c:iczj
U
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714