HomeMy WebLinkAboutPLUMBING 08-0228
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/& a, (
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
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SCHEDULED
y If Ut(/jI.5>
CONTR.
PERMIT NO.
DATE TIME
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8- J-24-
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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/,,",ORK SATISFACTORY, PROCEED
~. CORRECT ACTION AN9R)tOCEED
o CORRECT WORK, d00R REINSPECTION BEFORE COVERING
Inspector:
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
~.:~ ~::y PERMIT NO.O cp 0 -, ) c;j,
3 Yellow Applicant 0 ~U
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
L lJ25lal h v' e J-ku.v ~S ,M 0
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER.--t'":': S ~ 1'1' · I"
(Name) J rfnt ' , ~
(Address) , lP'5(Q,1 hvt Htuv~ /r--J-e."
~~~;~fANT 'N <Vb 10m Plumb ~
(Address) Ol?lO!5 Gz~ .kill 2),
(Address!
(Contact Person) L- ~
\PPLICANT SIGNATURE
PID
(phonel'j'5Ji!}1D- 7tJ~ Cf
rh'or LtuLe (MN 5'531 a.
(Phone) (LO Jj)<( }1-LJ033
J
M.-pls 'if\LN 5~Y6~
(City) (Zip Code)
(Phone) lJi2JJ.-) ~~7-'-Ius.~
. -
DATE
APPLICANT PLEASE COMPLETE BELOW
Quantity I Type of Fixture I Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Showelr Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
FEE SCHEDULE
Industrial. Commercial & Multi-family 1 % of job cost with a $39.50 minimum Residential, New One & Two-Family
ResidentiaL Additions & Alterations
to
Estimated Cost $ ~ W.
$99.50
~Lf1~D
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOT AL PERMIT FEE $
Lf'1 ,12
.50
5fJ' OU
- . -
Il
Rec11 No. 557 () 9
O. I
(Office Use Only)
I This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid 50, (J()
Date A ] ,/
" a Or
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714