HomeMy WebLinkAboutPLUMBING 07-0881
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
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ADDRESS
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
7-W'!
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 EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS: /{!-() ~{-e,.-
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KWORK SATISFACTORY, PROCEED
/0 CORRECT ACTION AND PROCEED
o CORRECT W.?~K#OR REINSPECTION BEFORE COVERING
Inspector: rvr ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH ,{ SAFETY!
INSNOTl
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
I Blue File PERMIT NO
2 Gold City 'D7. oei!: I
3 Yellow Applicant V
(Please type or print and si~ at bottom)
ADDRESS ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
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$CvrY'-O_
(Phone)
j)lrf LCcW I J.1 ^J .55J 7 d-
(Address)
APPLICANT
(N ame)
(Phone)
Ohamp/on
651-365-1340
~ t .',},ii1A1I100
Eagan, M~23-:1339
(Contact Person)
(Address)
(City)
Quantity
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APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture I Quantity
I 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)
APPLICANT SIGNATURE
DATE
PID
(Zip Code)
5. \3o--0/f
;
Type of Fixture
Rough-ins
1- 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 I % of job cost with a $39.50 minimum
Residential, New One & Two-Family $99.50
Residential. Additions & Alterations $39.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
0q.~O
.50
L/ 0 00
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Paid /f6. ()?J
Date 1./4-, () l
I
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
Date
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