HomeMy WebLinkAboutPLUMBING 07-1147
DATE TIME
CITY OF PRIOR LAKE I? I
INSPECTION NOTICE SCHEDULED ~ \\ 67-
ADDRESS I {I/~t;~ \ t t ("" \f)l--~ 00 'N N
OWNER CONTR.
PHONE NO.
PERMIT NO.
7- 11'-17
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
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAW-NE AIR TST
)f I.' 1'r "'ec.~.Q)"
COMMENTS:
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A WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Ii . '" Owner/Contr:
CAL: 44\..9SJFOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
LNSNOTl
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec' d
(Please tyoe or Dlint and sign at bottom)
ADDRESS
\tp~Sl VI ctD(\C\ C~Uf\Jf /
~. ~~~ ~:~ , PERMIT NO. 07, / /4-1
3 . Yellow Applicant
5\:.-
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
0('" \ \ \Q..,
~
,\Oh C)(uq
11-\ Of LC\.Ke I
. (Phone) gC) ~-44 'l-~l \ !
MN. 5S3l~' J
(Address)
APPLICANT
(N ame)
Quantity
Champlc....
651-365-1340
3610 Dead Rd. #100
Eagan, MN~Ef~~~3~. (City)
\L-( I ~() en . (Phone)
~1-~ DATE --11- 23- 01
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture Quantity
Bath Tub with or without shower
I Dishwasher
I Floor Drain
I Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
I Shower Stall
I Sinks
I Bar Sink
I Water Closet (Toilet)
(Phone)
(Address)
(Zip Code)
(Contact Person)
.PPLICANT SIGNATURE
Type of Fixture
Rough-ins
I Water Heater
I Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
I Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
I 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 #
(Office Use Only)
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
Z{J 5'0
---' .50
40,(1; )
This Application Becomes Your Building Permit When Approved
Building Official
Date
paid-f't? U U
Date// Z '1 (.7
.,\
ReceiV"o. o:::>()74-
,By 1-.
(J
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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