HomeMy WebLinkAboutPLMBG 08-0731
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS tl,q~5-Z;
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
COMMENTS:
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DATE TIME
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
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~ORK SATISFACTORY, PROCEED
o CORRECT A<]!}ON AND PROCEED
o CORRlC rPtCALL FOR REINSPECTION BEFORE COVERING
Inspector. 'I Owner/Contr:
CAL .447 ~~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
Date Rec' d
CITY OF PRIOR LAKE PLUMBING PERMIT
Kline Corp.
DBA: Practical Systems
4342B Shady Oak Road
Hopkins, MN 55343
J (Addre: 952-933-1868
(Contact Person) ",. fi1 j\..){\.. . (Phone)
9f,~/~1 DATE~~
APPLICANVPLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
I Lavatory (Bathroom Sink)
I Laundry Tray (1 or 2 compartment sink
I Shower Stall
I Sinks
I Bar Sink
I Water Closet (Toilet)
(Please type or print and sil:fi at bottom)
ADDRESS
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I rCAr' 1
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
~~ LA. 1-a.AYUL
S ~pe--
,
(Address)
s~
APPLICANT
(Name)
(Address)
APPLICANT SIGNATURE
Quantity
9. 10.0&
1- Blue File I PERMIT NO (J j
2. Gold City . 8 ._ 0 73/
3. Y cllm.... Applicant ..
SE
ZONING (office use)
PID
(Phone)
95:<-L/t./o- 6r!t3
e)
(Zip Code)
Type of Fixture
I
Rough-ins
I Water Heater
I Water Softener
I Stand Pipe (Washing Machine)
I Sewage Eiector
I Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
I Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $49.50 minimum Residential, New One & Two-Family $149.50
Residential, Additions & Alterations $49.50
Estimated Cost $ ( 0 () f) ~
Building Permit #
Iff. ?1J
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildinl! Official
Date
.50
)IJ - u<)
I Paid 50 "UV
I Dat~. '0. 051
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RJ.ript Nosz, 9 z...L
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24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
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