HomeMy WebLinkAboutPLUMBING 07-1073
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
(,LID?)
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
SCHEDULED
DATE TIME
i )-(']-rl
w) Ie! 0210
CONTR.
PERMIT NO.
7-107)
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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rORK SATISFACTORY, PROCEED
o CORRECT ACTION AND P~D
o CORRECT W~'" cH,It"~ REINSPECTION BEFORE COVERING
Inspector: JI III Owner/Contr:
..
.CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQU/REMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
I. Blue File PERMIT NO
2, Gold City . -7. /. () 7' ?
3_ Yellow Applicant I . ~
(Please type or print and si~ at bottom)
ADDRESS ZONING (office use)
b~bO
\.-J\\J)
55 3 7 ~
00.. \< <; - I e.-rr CtL -e.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
t\\II.5on I~e-I<~
b'-tDD \..\~ \ cO rJo..ks' I erTGlU
PID
(Phone) ~ 5 .:J - Y d b - q rs s ()
(Address)
APPLICANT
(Name)
CULLIGAN WATER CONDITIONING
0000 CULLIGAN WAY
MINNETONKA. MN 55345
"",r--\ --- _.t""~
(Addr~~si':::l ,-'C).rt f_V~
(Contact Person) Sn~ ~\1~~~ "'.
"PLICANT SIGNATURE S ~., ~
I V
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture I Quantity
Bath Tub with or without shower I
Dishwasher I
Floor Drain I
I Lavatory (Bathroom Sink) I
I Laundry Tray (lor 2 compartment sink I
I Shower Stall I
I Sinks I
I Bar Sink I
I Water Closet (Toilet) I
(Phone)
(Address)
(City)
(Phone)
(Zip Code)
15 d.- - 91 d.. - 73 7 ~
IQ:J {..- 07
DATE
Quantity
Type of Fixture
Rough-ins
Water Heater
I Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
Backflow Assembly
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 $ d 00 I t) l'L.
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
39.50
.50
LfO,QO
(Office Use Only)
"'his Application Becomes Your Building Permit When Approved
Building Official
Paid 4-0. CJV
nA._ I Date l ( - Vv ~ j 7
City of Prior Lake Bldg. Dept.
4646 Dakota Street Southeast 1245
Prior Lake, Minnesota 55372
Phone: 952.447.9850
FAX: 952.447.4245
24 bour noticl
16200 E~
R~C1't No. ~r-()\) {p
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