HomeMy WebLinkAboutPlumbing Permit 08-0549
~ r~;th TIME
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516/'1H€~ e;o~e-
/20.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/&2-.(:03
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
INAL
SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: L/l~A/ I~~.
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8..54q
o EXIG~D/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: ( . Ji Owner/Contr:
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CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
(Please type or print and sil!;n at bottom)
ADDRESS
/ fo;)fo '3 S 71 m fY\ -t/L ((! d ~
LEGAL DESCRIPTION (office use only)
1. Blue File
2. Gold City PERMIT NO./'It,;. 0.541'
3. Yello\'\" Applicant VV
f(c)
ZONING (office use)
LOT BLOCK ADDITION PID
OWNER ~-=> J, d PFr,- Iv//- 9j'-:]- t;.1 f:- '79:2 y
(Name) (Phone)
(Address) J tC:J r. ~ S7e IY> /NIL A\C{~ {(cl
APPLICANT/,"701 b
(Name) :: / =-, 'cf ~Wl ',' A~J /". .
(Address) c~ /1)( J! J<g / ' /J rl?
(Address)
(Contact Person) /4 V J~ 2// /JIVO/.ll"L.
APPLICANT SIGNATURE ~~
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APPLICANT PLEASE 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)
Quantity
(Phone) 61;)- -yg- 7t;oo
;Jhv' ,n~l'; d /J1IL/ .S0 0 7 /
(City)" (Zip Code)
(Phone) {./~.- 5d g- - ? !5CJS
DATE <a/.;t~/ 0 X
Type of Fixture
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Rough-ins
Water Heater
Water Softener
Stand Pipe (Washing Machine)
Sewage Ejector
Backtlow Assembly
Backtlow Assembly Test
Lawn Sprinkler w / PV 13
Other
FEE SCHEDULE
Industrial, Commercial & Multi,family 1% of job cost with a $49.50 minimum Residential, New One & Two,Family $]49,50
Residential, Additions & Alterations $49.50
tJ{),/" 17(1
Estimated Cost $ /- (..1.:;....-
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOT AL PERMIT FEE $
L/9 s-o
.50
..5(:) ~
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid ~ ._
Date 7 (?~/~. 't;
BuUdin!!: Official Date v{/ / 0 ~
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24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
Re~pt No;'2...-r "")
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