HomeMy WebLinkAboutPlumbing 03-0736
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
hUll I
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OWNER
CONTR.
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
COMMENTS:
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DATE nME
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o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~R~LL FOR REINSPECTION BEFORE COVERING
Inspector: {I '1 / g/ (( ~nerIContr:
. .
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
C\~
.APPLICANTSIGNATURE \:)- ~ DATE
APPLICANT PLE~ COMPLETE BELOW
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)
(Please type or orint and sign at bottom)
I ADDRESS
~~lll PovJ..\J\tLU -I ~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Address)
\'Y\a..v bll
'3o....v'N'
m()V!l-
APPLICANT
(Name)
t)UU'UJ", \N~
lDI4 ^ &.D Aut. fuJ
(Address)
(Address)
(Contact Person)
Quantity
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
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L Blue File r PERMIT NO J
2 Gold C;'y ./17-0;0-1-:2/-
3. Yellow Applicant U-' I-.-.J (P
ZONING (office use)
PIDz,5-XC:;'- 618-d
,
(Phone) "l6d- ;).'dU' nes.1
(Phone) to I;) - 80\ - 6;).&;6
IiLL1owtsCM. .~.5 ?l6D
(City) (Zip Code)
~ld- %Di-5Jlt()
(Phone)
Type of Fixture
\
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backtlow Assembly
Backtlow Assembly Test
Lawn Sprinkler
Other
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Penn it #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
.1. This Application Becomes Your Building Permit When Approved
Building Official
Date
oq . 5D
.50
4D,00
Paid 40 .6U
Date(p . (p . () 3
RecePl-~tf.i5
By Y/
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24 hour notice ror all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714