HomeMy WebLinkAboutPlumbing 03-0362
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
y-?~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
SyLJ.-^0-< _
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
11~() (~
DATE TIME
~-r
:1 -~1...
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC~~/7. R CALL FOR REINSPECTION BEFORE COVERING
Inspector: UO / (rl' ~~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
l/VSNon
Date Rec'd
3--?'- 7- 03
('TTV OJ? PRIOR LAKE PLUMBING PERMIT
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 5/03
(Please type or print and sign at bottom)
ADDRESS ~/) '1' ,0
V I- V uL1C1LtY}or~
~J . ,
LEGAL DESCRIPTION (office use only)
I. Blue File
2 Gold City
3 . Yellow Applicant
I PERMIT NO.QJ ~(j3fs; z- I
lr/. 6VV
ZONING (office use)
NORSLCM PLUMBING CO.
{~~?} 827..4033
~tt!t;ARFIELD AVE. SO.
MINNEAPOLIS, MN-.55408
UPLlCANTSIGNATURE ~ DATE
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture I 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
OWNER
(Name)
(Address)
Con ner I 12Lv,d
37-1(p 19.ArJl;mOye
V
{ r/.
APPLICANT
(Name)
(Address)
(Contact Person)
/..-
Quantity
PID
(Phone) (QCj2) LfL/7 ~ <6720
5W
(Phone)
(City)
(Zip Code)
(Phone)
0/23/03
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow 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 $
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
Thi, APPlkP1JliJ:-'" You, Buildlog p;m~t;;'~~rov"
BuiliIing Official Date -
Building Permit # ().3 -030 ?
~.fjJ
_ .50
'-/-() . tg
,
$
$
$
pa4D.oo
Dat%> 2.7 '>
-:> - / .. o~
ReceiP~~16 /
BY~ .
I
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714