HomeMy WebLinkAboutPlumbing 03-0284
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
4rL
ADDRESS
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
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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:
1f1- () / j..,. a/-'_
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----
,(/ WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~~CALL FOR REINSPECTION BEFORE COVERING
Inspector: V JA/ 4-J-O~ Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
..3 -17-03
~. ~~~ ~:~y PERMIT NO. 11-'/"'0"70. A_
3_ Yellow Applicant U~ vV~
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
, D1Do EdcervateA Q'rde W[;-
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LEGAL DESCRIPTION (office use only)
&~e~R Wa;rho{ I ];avid
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~;;~~ANT N orlJ' f51Yl PlVAYlhinC1
(Address) 'LqOS f1MfieLd A1I,So.J
(Address)
(Contact Person) Lf:ff tJ {J(kJ I f5YVl-I
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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)
LOT
BLOCK
ADDITION
. (Address)
'JPLICANT SIGNATURE
v , ,
Quantity
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39,50 minimum
Estimated Cost $ 000
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
"his Application Becomes Your Building Permit When Approved
Building Official
Date
PID
(Phone) (152) LfLf 7 -c3L12&
(&/2) n1-4o?J7J
6540i
(Phone) ~~~
DATE 0/8/ ()3
(Phone)
mots J
. , (City)
(Zip Code)
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 # 0 :? - () 2-[j t--
l?fl.~
.50
LjO.~
$
$
$
Paid 4-0. {..-v
Dat~
~-/7""()J
Receipt ~ 95 7
By ~
o
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714