HomeMy WebLinkAboutPLUMBING 07-0940
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/'1fiS- IA/(Il) 9M~
CONTR.
OWNER
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
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COMMENTS:
DATE _ TIME
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7~ qLf()
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND .,epOCEED
o CORRECT WORK c..&FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
c::ALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSIlOTl
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
10.1.07
(Please type or print and si~ at bottom)
, ADDRESS
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LEGAL DESCRtt' lION (office use only)
BLOCK
ADDITION
OWNER
(Name)
C~rl'
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(Address) 54~ A-s aboV'€_J
APPLICANT
(Name)
(Address)
(Contact Person)
CULLIGAN WATER CONDITIONING
6030 CULLIGAN WA'~
MINNETONKA. MN 55345
(Add~} ~M~. (200
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V1 APPLICANT SIGNATURE
Quantity
APPLICANT PLEASE COMPLETE BELOW
I 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)
I. Blue File PERMIT NO. /17_ 094-tJ I
2. Gold City U .
3 Yellow Applicant
5 s:- 31-1...
ZONING (office use)
PID
(Phone) q5""2 S1..!:i - 7'9 <f(p
-.
(Phone)
(City)
(Zip Code)
(Phone)
1/2-7 lor:-
.
DATE
Type of Fixture
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
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
(Office Use Only)
Estimated Cost $ L..oV . 00
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOT AL PERMIT FEE $
This Application Becomes Your Building Permit When Approved
Building Official
Date
3 q ,S''O
.50
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Paid ~,uV
Date 10.1.01
24 hour notice for i'';'~UV'" \:1;)"" ..../- 2 447-4245
Eagle Creek Ave., S.E., Prior Lake, MN 55372-1