HomeMy WebLinkAboutPlumbing 03-0895
DATE TIME
CITY OF PRIOR LAKE 7- t'-07
INSPECTION NOTICE SCHEDULED
ADDRESS 1,Cf57D F"n.. lIIlJl1.. 1Y/
OWNER CONTR.
PHONE NO. PERMIT NO. 1-fS'lf"
o FOOTING o PLUMBING RI o EXIGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: ~t YfK--
~~
,
.;
~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: (IJ 7- 8"-0-; Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY/
INSNOTI
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
7 1. oJ
L Blue File PERMIT NO. /12? -./i~9s1
2 Gold City U - U
3 Yellow Applicant
1 5~70
rial'-' h '" N 'AvQ
(Please type or print and siltll at bottom)
ADDRESS ZONING (office use)
Ff a tJK J lw f1VJ2.
~;;~~ANT SA)~ P t ~ lo.'\.... lJ~~ (Phone) .tidS'v 4/] ~O:l'
<' ... " } ~ ~O J'G Vl51
~. ,., l- (, t6 lJ f JI/J 14- & -t w . .~ mtJ" c "- .:n,r>
(Address) 1 (City) -r- (Zip Code)
{SQ.( tv} (Phone) AIr ~ /) 3' l c.J"'}l)
~ 4.- DATE '1 :ru~ dOJ~
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)
T"'s~ ct .(Dvr\
Building Permit # 0')- 0 JI? J
S~ rO
.50
4tJ.UU
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
r:\s,:>o c. ~ ".;\12'
I
,
(Address)
S'l~) oft Ot.I'lJ
l<5~JO
(Address)
__~Contact Person)
'PLICANT SIGNATURE
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
. ......u)ffice Use Only)
,'his Application Becomes Your Building Permit When Approved
Building Official
Date
PID 2S -9.?0 - 0 I "b "0
f 1\ ,(Phone) ~ ~~ ":l;1~ -C;~LJ()
(flc A~ClM)
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backtlow Assembly
Backtlow Assembly Test
Lawn Sprinkler
Other
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
$
$
$
pai~. oz)
Dat;, 1. 0 (
Rec~1L
By A-
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