HomeMy WebLinkAboutPLMBG (LAWN IRRIG) 07-0661
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS I f J Il~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
'"fSICFINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
~ btt-&-
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~
TIME
7- (p ~ {
1- Llko
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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INSNOTI
J( WORK SATISFACTORY, PROCEED
o CORREC:~ON AND PROCEED
o CORRECt._!' CALL FOR REINSPECTION BEFORE COVERING
Inspector: r Owner/Contr:
\ I
CALL .M1-9850 F0R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
AUf; 0 3 2007
(Please type or print and siltll at bottom)
ADDRESS
~.:~ ~!;y PERMITNO~O' 7 0 I f! I ') I
3 Yellow Applicant U ""
/7/7~, S7ufJe 8/CAAt<
c.." IIC tE
ZONING (office use)
PUG
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION OUTL-oT
H
Ie N77ert Neb. \
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PID 25". 4(. s: U.3 <C. . 0
OWNER
(Name)
(Phone)
(Address)
APPLICANT
(Name)
pc 'f n tN.I rJ-l p L.ll /"1/J I tJ q
/ZZ 70 4-3~/O 5, /Vc7
(Address)
(Phone)
1~,3. 49C,_ tvl (JO
(Address)
~<;; T. rll (!/1 A €.L
(City)
5537l::7
(Zip Code)
(Contact Person)
(Phone)
APPLICANT SIGNATURE
DATE
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
I Floor Drain 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 Backflow Assembly
I Sinks I Backflow Assembly Test
I Bar Sink V. I Lawn Sprinkler
I Water Closet (Toilet) I . I 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 $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
31.50
.50
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" ( Date
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24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
Paid L.V
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Date I) ~ 1
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Rt1Pt No. -/1- -1. J
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