HomeMy WebLinkAboutPlumbing 03-0973
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
7" L '-I
ADDRESS
/ILl/q UJi Id.t("~(>s 1/'
OWNER
CONTR.
PHONE NO.
:1-'{7 J
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
L~WV\
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
S(Jn-1/t.(.,_
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ 7-)i..(~ Owner!Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
INSNOTl
"
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CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
; ~~~ ~~;y I PERMIT NO. 2?3 - /?? ~
]. Yellow Applicant , 7 ~
/?;LL/1
ADDRESS ZONING (office use)
~-r~
LEGAL DESCRIPTION (office use only)
ADDITION
~~~R ~~
(Address) 17:2 Y 1
APPLICANT " I
(Name) r ..
15 J2/J1/YlP A-
i)/...
(Address)
610 r)~
(Address)
57ev- c
A.
(Contact Person)
l'PLICANT SIGNATURE
PIDo<S-37D. ()CJ -0
(Phone) q S" 2.. -.:2..2 t -3'13 Y
(Phone) ?t:.:3 - VI J-/<J g l
~.iA- S5"~ 1/
(City) (Zip Code)
(Phone) 76 3 -- '113 - I 'J g)
DATE 7-..:J..}_6'3
APPLICANT PLEASE COMPLETE BELOW
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 (1 or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink J Lawn Sprinkler
Water Closet (Toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39,50 minimum
Estimated Cost $ J ') {)
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
aQ,,5D
.50
lff).----
Paid
Date
Receipt NO.t1L1 i {; j
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714