HomeMy WebLinkAboutPLUMBING 04-1097
DATE TIME
CITY OF PRIOR LAKE I I
INSPECTION NOTICE SCHEDULED f < 10 "a'iLI
Ii .~ ~
ADDRESS S J7?-- Mo r- ~
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
CONTR,
PERMIT NO.
4. '- 16 17
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMJIIENTS:
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o WORK SATISFACTORY, PROCEED
)>(CORRECT ACTION AND PROCEED
o CORR~K. CALL FOR REINSPECTION BEFORE COVERING
Inspector~ n Owner/Contr:
CA~50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETYl
INSNOTI
Date Rec'd
,Please type or print and si~ at bottom)
ADDRESS
3)'~ '{!;)t~~ (lJ.v YL LJ,
CITY OF PRIOR LAKE PLUMBING PERMIT
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 01-06
IV. Z I. () I-
~L ~~~'icant I PERMIT NO. tJ.f- J 0971
ZONING (office use)
IC/SD
LEGAL DESCRIPTION (office use only)
LOT "3 ~LOCK ADDITION
/tJ~ O)OQj,
PID 25. /4-1, 012. 0
OWNER (\ . fl
(Name)~
. (Address) .s.. AI"t\).-e.
(1~A~~
LfJfiA.A ,,) ~ a.1.c J t
. '. - --
(Phone)9S~ -</Y? -- JSI'!.
m Il, 6.6.5?.:J-
~;;~~ANT~~ <-P~~J~ (Phone)"SI-3~~-'3'1D
. 1
(Address)~~~ ?b ~o.M. WO~ Z ~ , rn 11, ~.,51.4. 3
(Address) tl:ity) (Zip Code)
(Contact Person) rvr~ A,-R ~ (Phone) ~j.r~~~ -)~~~lJ
APPLICANT SIGNATURE lml1.-t~_ -J~J..<.4..4hLl DATE ~/(".I(jl./
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
La . "dry Tray (lor 2 compartment sink
Sho , ~tall
Sinks
Bar Sink
Water Closet ( l~.
Quantity
Type of Fixture
,
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
I Sewage Ejector
I n ~kflow Assembly
kflow Assembly Test
'n Sprinkler
REQUEST FOR FINAL
-- INSPECTION SENT TO
HOMEOWNER 10-06
~r
Industrial, Commercial & Multi-family 1% ofjL ____ ...... U "'J7.JU mInimum
Residential. New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $ ~ ' 81!).
Building Permit #
() 4--, 10 '1 7
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
39 ~.so
.50
1../ () . eHJ'
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid ~ /uJ
Date
iO. -z~,iJ{-'
Receipt No. +83tJ,s-
Bym~
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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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