HomeMy WebLinkAboutPlumbing 03-0314
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDUl'ED
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ADDRESS ~Sl>
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l'r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
--:1- .1IL/
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 EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
11)-0 ~ 4"d-t-
t
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.
'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
,
CITY OF PRIOR LAKE PLUMBING PERMIT
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 5/03
Date Rec'd
:3- W-03
(Please type or print and siM at bv."'~)
ADDRESS
I. Blue File
2. Gold City
3. VelIow Applicant
PERMIT NO.OS/ 0:314-
.53.5ZJ ...5 ,tIV,e6
7JZri/ L-
ZONING (office use)
K../JO
LEGAL DESCRIPTION (office use only)
LOT 5 BLOCK
ADDITION ,.v:.../ /.-/t//Z.6 0 ~
PID 2!:' - t'J for .005" -e)
OWNER
(Name)
(Phone)
(Address)
~
r APPLICANT /' ~ II to} I J hi
)::) ~;;;; 17;~?JtJ. I7/j
<7 _. (Address)
~contact Person) ::SOhh ?k.qJ //_--4
ryPLICANT SIGNATURE ~ ~
r
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity I
Bath Tub with or without shower . Rough-ins
Dishwasher / Water Heater
Floor Drain I Water Softner
I Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink I Sewage Ejector
I Shower Stall I Backtlow Assembly
I Sinks I Backtlow Assembly Test
I Bar Sink I Lawn Sprinkler
I Water Closet (Toilet) I Other
(Phone)
95;;. ;239 9/22..
S-.sof~
(Zip Code)
QS2 ;239 9/2"2
.3 - 26-03
(Phone)
JC1bt/ik
(City)
DATE
----...
Quantity
Type of Fixture
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
Estimated Cost $
Residential, New One & Two-Family
Residential, Additions & Alterations
Building Permit # () J-() j> I~
$99.50
$39.50
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
::J 'f. 5:V
.50
4-0. crv
(Office Use Only)
"his Application Becomes Your Building Permit When Approved
IUfJlL ? - La .- 07
Building Official Date
pai~O. UV
Date
:3 -J.c;-Q]
ReCeiP~.,X "7
IBY ~.
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