HomeMy WebLinkAboutPlumbing 03-1008
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE nME
SCHEDULED
~-I
ADDRESS
17~!
Wi/Ie; Ite ~s
OWNER
CONTR.
PHONE NO.
PERMIT NO.
. '3-loog'
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/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
Lo.wV\
~
:.J-rrl~
~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT'jItf?LL FOR REINSPECTION BEFORE COVERING
Inspector: fr M Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
. ._....._-,.~--,_._.-
-....':..:<"'-.,;.;.
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
1.:tJ. OJ
I. Blue File I PERMIT NO
2. Gold City . ()?_ /00 Z;
3. Yellow Applicant , ~
ZONING (office use)
ADDRESS
17 og 2>
$E.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 25. 3/0. 02-0. 0
I ~':~R ~ .SP ~
(Address)
(Phone)
(Contact Person)
7!R3L" -4 P;ft,1
56' 4'-t
(Zip Code)
APPLIC
(Name)
(Address)
(Phone)
"PLICANT SIGNATURE
DATE
/ -31 -03
Quantity Type of Fixture 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
Shower Stall f Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
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
.I'J . /ooY
Estimated Cost $ Building Permit # v
PLUMBING PERMIT FEE $J Y rv
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ 4tJ, ,Il/
(Office Use Only)
"his Appl~ti~n ~e,omes Your Building Permit When Approved
1VOt:r 1.3/ ,OJ
Building Official Date
Paid 4-IJ. (/7J
Dat7 '5/, OJ
97
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
'T'