HomeMy WebLinkAboutPlumbing 07-1013
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
7. 14-. Of)
ADDRESS
/53(p5' FISH PT /U.:).
OWNER
CONTR.
PHONE NO.
PERMIT NO.
7 . 10/3
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 EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
frGASLINE AIR TST
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COMMENTS:
~t.-O.Je
77---16 H GE
'fJ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WWR C LL O~ REINSPECTION BEFORE COVERING
Inspector: Owner/Contr: .
-V
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTI
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
(Please type or nrint and~t bottom)
ADDRESS ZONING (office use)
\0~~S F"sh P1-. .~ . S[
~. ~~~ ~~~y PERMIT NO. ^7~ 1013
3 Yellow Applicant U ..
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
\nhn Wd-kolU~
~(Ul'te I Vr t' or LaJ:-.e . ;\11 N .
(Address)
(Phone) gf);;. i(l7- LfObtf
f
5 '5 '~/~
. APPLICANT
(Name)
(Phone)
(Address)
C"~Ss)
651-365:1340
3670 "Odd Rd #
(Contact PersonEagan MI.. . 100 _ . . (Phone)
"''455123-1339 V ~_/ ,?}A~ ~~D -'-"-ATE
APPLICANT SIGNATURE ~.-1!Jf .2f~
APPLICANT PLEASE COMPLETE BELOW
Quantity I Type of Fixture _I Quantity
I Bath Tub with or without shower-' . Rough-ins
I Dishwasher J I Water Heater
(City)
(Zip Code)
IO/c;L~d/
J
Type of Fixture
I Floor Drain , Water Softner
I Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
- Shower Stall Backflow Assembly
I Sinks Backflow Assembly Test
I Bar Sink Lawn Sprinkler
, Water Closet (Toilet) 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 #
(Office Use Only)
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.?q$O
,.50
4- (J I..(.L
Building Official
Date
Paid 4-tJ . (; L)
Dattl." Ci. In
tOJ1-Vf
;1
I R1lptNO'5#'~'1
I Sf
d
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
:1.~ 1~7
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