HomeMy WebLinkAboutPlumbing 07-0073
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
U i.{ t)'-!
Crk~ S'r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
PiNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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DATE TIME
7-/~-1J6.
7 " /'~
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~RK SATISFACTORY, PROCEED
o CORRECT ACTlONrND P ED
o CORRECT W9'f1 C F REINSPECTION BEFORE COVERING
Inspector: f // OWner/Contr:
, I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
1- .I 4- · 01
(Please type or print and si~ at bottom)
ADDRESS / /
41-0,
~. ~~ ~:~ PERMIT NO. 01. OD7"2.
3 Yellow Applicant J
L~%rado ~+-. s'E
ZONING (office use)
APPLICANT ) .. . .
(Name) .J1P f I p.PA.{)Of~~, .
( _ztJ7 () {Yrlti jJyj
J l~ddress ~
Kt Jj-{); eh :
J<)~(JLr2h
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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)
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
OWNER
(Name)
Amy f3rad Held
<SC0.~
. (Address)
(Address)
(Contact Person)
APPLICANT SIGNATURE
Quantity
PIDtS:" 005. Oz..,o.O
(Phone) 95'::{ - 'I If? - 6~:r~
PnDr/.L,LK-Q ( rntJ 5 ~\7~
(Phone) 0SJ~L 3f6 ,- LZ 4 0
EafjaiJ MN. 55):/3
(cit/) (Zip Code)
(Phone) G~
;}- ;)-07
/
DATE
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
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 $
TOT AL PERMIT FEE $
( ~C1- 50
.50
If 0 Q{l
(Office lJse Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid 46 ..00
Datz. .1+_ 07
ReCrft No. 5Z8~ I
BJ.
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714