HomeMy WebLinkAboutPlumbing 03-0803
OATE TIME
CITY OF PRIOR LAKE ~-'t-'0
INSPECTION NOTICE SCHEDULED
ADDRESS I?{)t(~ Wi/,.L..,..-UH 1l--)
OWNER CONTR.
PHONE NO. PERMIT NO. '3- 8-0 ~
o FOOTING o PLUMBING RI o EXIGRAD/FILLING
o FOUNDATION o MECH RJ o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: >' j/---''1t{..........
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR 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!
INSNOn
.- "-~"'--'-"'..._._....-._-.~-~
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
; ~~~ ~::y I PERMIT NO. /13- ~ /I 21
J. Yellow Applicant V aU \.:),
ADDRESS
"lDQ5
.
'\N ,'ikY1iUN) '1 vcu..J-
ZONING (office use)
IS!)
LEGAL DESCRIPTION (office use only)
LOT 11 BLOCK f ADDITION
l
PlOdS- 370-0
o
OWNER
(Name)
e:ob (YV\54
'&u'vv
(Phone) QbC)-l\40 - 5131_
(Address)
"PLICANT SIGNATURE
(Phone) \.0 I d- - 80 \ - 5J-loD
\-\L.l.-\tki V\S()V\. 65350
(City) (Zip Code)
APPLICANT
(Name)
(Address)
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 (I or 2 compartment sink Sewage Ejector
Shower Stall t Backtlow Assembly
Sinks Backtlow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
(Phone)
~
(Contact Person)
DATE
FEE SCHEDULE
Industrial, Commercial & Multi~family 1% of job cost with a $39.50 minimum
\ 50012-
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
0<1.60
.50
t-tO . Ob
__(Office Use Only)
This Application Becomes Vour Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714