HomeMy WebLinkAboutPlumbing 07-1172
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
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f[J (/rSvvrl
SCHEDULED
7.'-11] /J(,/.1'- 5 /
CONTR.
PERMIT NO.
~'~BING RI
~\ ~~~H RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
.... ---
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DATE TIME
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
t~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~, <;{'~R REINSPECTION BEFORE COVERING
Inspector: ;/ 11.1 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
Dale Hee'd
CITY OF PRIO{ lAKE PLUMBING pr~Rl\qT
/L,lro7
(Please type or 1'.01\1 and si~n at bottom)
ADDRESS
I. Bill!.'
2 Gold
3 Yellol\'
Fill'
C;"
Aplllicnfl\
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PEHI\1IT NO'07, III L
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r; Ci / S C1~/f>1
_S L. --~-'-i(L-
ZONING (nffice
IISO)
LEGAL DESCFIPTION (office use onl,,)
LOT
T3L(): K
ADDITION
PID
OWNER 1~
(Nil 111 e) ___ _Ci [-Le..Ju
S cL5 SJ~-__n_
(phone) G/? - -7/9._ 676_-i'
(Address) ~/'){I '~~_3
(S Ci / Se{ ,"7 <.I-___~) \ /
APPLICANT I
(Nilme)___I, ~-()€(Jof lio-dlf___>'. V..L(~_ (Phonc) J~)_~:ij =--~ (!5>:SQ!iQ__
(Address) __ J 0 () (J Ij~12!':.---A.fJ--(_f1,<~_ S l:,__f!...Q.l.d ( .__C_(=-J~_t________
(Address) (City) (Zip Code)
(Colltact Person) ___J_'<:~~:::;10'1 ... u__lC:1...8.:,.elL.f;. (Phone) 0S'1- f9 '15-- St.) YO
AI"'UCANT~'GNATU';E ~ /244_== . DATE -Ud9-c,2 ..=
~PPL[C .\NT PLEASE COMPLETE BELOW
I Qu 0 n Hly : Both T uh WI t1~~~:{t~:~;;\',';~1 . ..... Q;,~,;[iiy-- -~~U"h. in, Ty "~o f iii,(o ,;- -=1
I I Dishwasher .-- '-~;l_l<-:r IIeater
I Floor Drain I Water Sonner
I Lavatory (Bathroom SinkL __ ." -u----Tsi;,;d Piec -(Washil..1.g_~0_achinc)
I ~~~:~~I~\~~~IY ([ or 2 cOIllC(>l~ll~~~( -.----i-~~~(~~;jJ~~~l11bll_~_~
! Sinks _____________~~~know Assejj~lLly.2.c~t
I Bar Sink La~ll~prinklcr_______
I I Water Closet (Toile~) _ ___ _ Otl~cr
FEE SCIIEDULE
Industrial, Commcrcial & Multi-family 1% of job cost witb a $39.50 minimum Residcntial. New Onc & Two-Family $99.50
Residcntial. Additions & Alterations $39.50
Hllil"in!! Official
Estimated Cost $ _ (~. (,I O. Building I'crl11iill
PUfMBING PERMIT FEE $ u_~3 9. SO
STATE SURCl-MRGL $' _
TOTAL PERMIT FEE $ /I '. -~GUO'
,-0,
,~~'[ffj
Date /1 ,). (,) () 7
ill
(Off;..e Ilsc Only)
This Application BeconH~s Your Building Pennit When "pproved
-
"ate
24 hour lIotice fOJ' all inspections (952) 447-9850, fax (952) -1-17-4245
16200 Eagle Creel< Ave., S.L., Priol' Lal<e, MN 55372- I 714