HomeMy WebLinkAboutPlumbing Permit 01-0987
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
ADDRESS
52-4/
SCHEDULED /. 2- O. 0 I
L.&X I rJ c:, 70 Ai cr j' b
OWNER
CONTR.
PHONE NO.
PERMIT NO.
0/. 0987
/
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o / db./.. /
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
-.......~-
.s /' /L, / rJ,.L c...<::;---n.-
COMMENTS:
(!., t.- OS r=;
DIJH . !()
771'6 PI 06
j /V ~ e.TIVI TV
I
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!
IlYSNOTl
CITY OF PRIOR LAKE PLUMBING PERMIT
(Please type or print and sign at bottom)
ADDRESS
I. Blue File
2. Gold City
J Yellow Applicant
5zcrl
L-C/)(/ Nc, loAi
c T 5-6
LEGAL DESCRIPTION (office use only)
LOT 9 BLOCK 3 ADDITION {;t/ICDE;;~.l\J6S.:s POI\JL:~
OWNER
(Name)
(Phone)
(Address)
(~~;~~ANT 4( ClI'fJ,' ted ~/IJ..:-n,,, ~
(Address) 2'2 7c)u ~i'V\e lreel
(Address)
(Contact Person) 'Tt;\,."ir'\ l-h>rJ.\.
"'~ / (
APPLICANT SIGNATURE-..... l '
(Phone) ~ 5 -2
La -kp l;;' lie'
(City)
(Phone)
('-"'\ ..,
-1" L
DATE
Date Rec'd
9- / / -Q /
PID Z5-3/n- 044-,('
t; ~ 9 - '-Iv OU
5-5-0 LILI
(Zip Code)
.'J
~ .~
~)('l
{ff //1 /0/
APPLICANT PLEASE COMPLETE BELOW
Quantity I Type of Fixture I Quantity I Type of Fixture
I Bath Tub with or without shpwer I I Rough-ins
I Dishwasher I I Water Heater
I Floor Drain I Water Softner
I Lavatory (Bathroom Sink) i Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink I Sewage Ejector
I Shower Stall I Backflow Assembly
I Sinks . / I Backflow Assembly Test
I Bar Sink \?'. I Lawn Sprinkler
I Water Closet (Toilet) I I Other
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
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
:3 9. 5L1
.50
4-rJ D U
(Office Use Only)
This ~es Vour Buildiug Permil Wheu Approved
, ~g Official Date
Pai~U. trl]
Date I( .- () .,-t) I
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245