HomeMy WebLinkAboutPlumbing Permit 08-0283
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
SCHEDULED ~~~
r1r
#,.L}-IALI6 R/).
TIME
ADDRESS
14-132..
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
MSULATION
FINAL
o SITE INSPECTION
COMMENTS:
( (
l._117'-p
CONTR.
PERMIT NO.
(3. 2-83
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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~WORKSATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: PO
/Y
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
LNSNOTI
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
$:% I. ()J~
~.:~ ~:~ I PERMIT NO. ~ 11_ (J".'2
3, Yellow Applicant u....u - ~
)1-/lr3:J V0l1/i lie
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(Please type or tnint and silD at bottom)
AuvAESS ZONING (office use)
APPLICANT I '1 ?., . V" C-
(Name) 7< 2 .p I L.nn hllv/) (phone) bl ~ - .)0' ~ - 7000
(Address) _ ~/bo"f I ~/Jl It~ 11/tw' ~.c,l"W rYlM' ~bo71
(Address) . (City) (Zip Code)
(Contact Person) /~ I' i/ I ,.J (phone) -" / J - ~ d <j) - 7 g-ocr
APPLlCANTSIGNA~-- ?" /. DATE >/;)1/0 ~
, APPLIUT PLEASE COMPLETE BELOW
TYlle 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)
LEGAL DESCRrr l.l0N (office use only)
LOT BLOCK
ADDmON
OWNER
(Name)
/)e",tJ
I L/ (3).
()P ILl tv) ~ tv'
IJ'lT"'iI,-e (LeI
(Address)
Quantity
PID
(phone) '7~;; - 9 S- /... - '-/5'16
Type of Fixture
/
Roum-ins
Water Heater
Water Softener
Stand Ph>e (Washing Machine)
Sewa:;!;e Eiector I A I.A/ A .I
Backflow Assembly 10 r2... -:r R. t2 I "i ~ T" / VA.."
Backflow Assembly Test
Lawn Sprinkler
. Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $49.50 minimum Residential, New One & Two-Family $149.50
Residential, Additions & Alterations $49.50
. .-, .CP
Estimated Cost $ 700-
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildln2 omcial
Date
L/ q yO
.50
~ 0 Ot.J
Paid$D..' II
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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