HomeMy WebLinkAboutPlumbing 03-0889
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS I C;..2/A
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED 8 -5' -0 ~
AT
FO.ir-~ l-\k Q.~.
CONTR.
PERMIT NO.
(' - ea'f
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST . I
JL l.t....l..... ~......u--
/"
~ORK SATISFACTORY, PROCEED
o CORRECT AC N AND PROCEED
o CORRECT A L FOR REINSPECTION BEFORE COVERING
Inspector:
CALL
FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
Owner/Contr:
MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
-..,
c-
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
;~: ~:~ I PERMIT NO.03 - :? 891
). Yellow AppliClJI1
t!'lease ~e or orint and ,i\!ll at bottom)
ADDRESS I ZONING (om" ",,)
/)'d.]J'" ~R/,e.t!<..).IIY' ,#~/~//?f CT-
LEGAL DESCRIPTION (office use only)
LOT~ BLOCK L( ADDITION /Jk'wm~ r.f:.-r
OWNER
(Name)
(Address)
PIJ;i)~-310- 03f.--i)
v
(Phone)
APPLICANT
(Name) L/I~5d)e
(Address) /..?'I6 '7
2/,t.).e~A.I
(Address)
C4/?L
<\PPLICANT SIGNATURE d/ ~~
(Contact Person)
I Quantity
I
I
I
I
I
I
I
I
I
/'L.8t '6- #T6
/It/L
(Phone) 99 - 39'/- /600
J/!t/A6-€. ' ,A4;J SS37f'
(City) (Zip Code)
(Phone)
c5" H~ c::
6'/yi)/o 3
DATE
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity I Type of Fixture
Bath Tub with or withoul shower I Rough.ins
Dishwasher . i Water Heater
Floor Drain, . Water Softner
I Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry T.ray (1 or 2 compartmenl sink " Sewage Ejector
I Shower Stall Backflow Assem bly
I Sinks Backflow Assembly Test
I Bar Sink Lawn Sprinkler
Water Closel (Toilel) . Olher
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
(Office Use Only)
Thi~ Application Becomes Your Building Permit When Approved
Estimated Cosl $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.?7.S0
.50
~.o_ c>o
Building Omcial
Paid tI a --
Date . -::;>
") - 7- ,)
Receipl No. V/J/ I
. / U'lo '-7'-'1
BY";;,, e.-/
'C
, .
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245