HomeMy WebLinkAboutPLUMBING 07-1187
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
7a ~ ~c.. ~J:/1
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
DATE TIME
/-7-()~
'7-1If-7
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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.R!'WORK SATISFACTORY, PROCEED
1""0 CORRECT ACTION AN~OCEED
o CORRECT WORK, c;JCCt..IOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
I
,CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
I1'ISNOTI
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(Please type or print and sign at bottom)
. ADDRESS Q .. j I . C
007, J-[~k f-j-Aven {)Ltrt-
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER
(Name)
(Address)
APPLICANT
(N ame)
(Address)
(Contact Person)
Marr.-l'n
f-kbi a
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'P(i 0 ( Lee \Le
(\
(:JU1'Y1f1--,
Ch~lIltJivll
651-365-1340
Jt)(U OOOU !;J. tJ100
Eagan, UN 55123-1339
(Address)
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APPLICANT SIGNATURE
I Quantity
I
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I
I
I
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I~:~ 1,07
I. Blue File
2. Gold City
3 Yellow Applicant
PERMIT NO'07 /1187
ZONING (office use)
PID
)vJN
(Phone) q5~- 1-~':s ID3 ~j'
1;;5'3-7 d-
(Phone)
(City)
(Zip Code)
(Phone)
DATE
L2- Jl - C)!
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)
FEE SCHEDULE
Industrial. Commercial & Multi-family 1 % of job cost with a $39,50 minimum
(Office Use Only)
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 $99,50
Residential. Additions & Alterations $39.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOT AL PERMIT FEE $
This Application Becomes Your Building Permit When Approved
Building Official
Date
c~c,.50
. .50
LJ-O.OD
Paid 1-0 I UU
Date/ z.. 2- 7 - () 7
RO"pJ'O
BY{ .
j
55110
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
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