HomeMy WebLinkAboutPlumbing 08-0222
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
7-2~
ADDRESS
If./G/G ~0~1~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~... L~2.
o FOOTING
o FOUNDATION
o FRAMING
o J.!i$ULA TION
jr1=INAL
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
o GASLlNE AIR TST
o
COMMENTS:
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTIONpND PR CEED
o CORRECT WORK, CA F REINSPECTION BEFORE COVERING
Inspector: fl1 OWner/Contr:
, V
,CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
I. Blue File PERMIT NO _I
2. Gold City .0 11. 0 ?) .II .
3 Yellow Applicant 0 &--
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
',(21 LlQ L-cUaj leU ~~~
~~e~R t-D (S Y{,)b \a
(Address) \ to.\ 4!lp i J?t ttSi (-lo_- . Av L
1~~;~~ANT NC>f~\oy\f) ~Lmb'\ nc (Phone) CL9-la-:}&~1-L1b3-~
(Address) (JC[09J Cu~-Lcl A~V-(';-:\ ~\S 55LfO~
(Address} (City) (Zip Code)
(Contact Person) 0l~ _ (Phone) I Lo IdJ C(J-/-L-lo33
t\PPLICANTSIGNATU~Y~ P DATE l-l1J.-3)6Y
,-
{PPLICANT 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)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
Quantity
FEE SCHEDULE
Industrial. Commercial & Multi-family 1% of job cost with a $39,50 minimum
Estimated Cost $
PID
(Phonelg~ L\L\7-G1~.~
Type of Fixture
\
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
Residential, New One & Two-Family
Residential, Additions & Alterations
$99,50
j,~ :7.JV 0
Lfq.5~
Building Permit #
/J
Paid,:::]J p I Re2fript NO'5 5
~U,(,u I A
Dat~ :1 tJ. r./ :A
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 U
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOT AL PERMIT FEE $
(Office lise Only)
I This Application Becomes Your Building Permit When Approved
Building Official
Date
4L1. re..
.50
50.~
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