HomeMy WebLinkAboutPlumbing Permit #03-0512
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
4-~~
ADDRESS
r:. \71
flu, f-, (' dL.-J
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~ -Sf 1..
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
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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SitCTrl-tr-
1/2~~)
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---
~KSATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
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Inspector: f W' - l .. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
uaNOTI
/
Date Rec'd
CITY OF PRIOR LAKE PLUMRlNG PERMIT
'RE~UESr FOR FINAL
rl4'SPECTION SENT to
HOMEOWNER 6/03
(Please ~ or orint and si~ at bottom)
ADDRESS
(p5ll KMs+iw l2.-J
File
City
, Applicant
I PERMIT NO,!? 3-- 90.... ]
ZONING (offie<: use)
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APPLICANT PLEASE COMPLETE BELOW
Quantity_ . Type of Fixture Quantity
tlath Tub with or without shower
iJisnwasher
Floor Drain
Lavatory (Bathroom Sink)
- Laundry Tray (lor 2 compartment sink
- Shower Stall
:smKs
Hi", sink
Water Closet (Toilet)
LEGAL DESCRIPTION (office use only)
LOT / BLOCK I ADDITION
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OWNER
(Name) .
M fJ-V lL 19Is. 0)')
( sa.n'l..L a <:;
aJ~)Vt"_)
(Address)
APPLICANT
(Name)
CULLIGAN WATER CONDITIONING
06~C CJ;"'~;\;MI~ VYM.-t-
MINNETONKA, MN 55345
(Address~l:to.::) l:t;';'-I4!UU
(Address)
(Contact Person)
(ku 'h~'--A-J',
- - 1?PLICANT SIGNATURE
/UJJ
PID85-/3fJ-CXJI-.0
(Phone) 4-4 ()_-ri \ \
(phone)
(City)
(Zip Code)
(phone)
DATE
3- 27 -03
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test'
Lawn Sprinkler .. ._" _- __-
Other
FEE SCHEDULE
Indu<:trj~1 rnmm..r(';,,1 N, "A.d.; f'....~;I.. 101 ~":_L ___0 with a $39.50 minimum
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REQUEST FOR FINAL
INSPECTION SENT TO
/03 NG PERMIT FEE
HOMEOWNER 8/19 JURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
~his Application Becomes Your Building Permit When Approved
Residential. New One & Two.Family $99.50
Residential. Additions & Alterations S39.50
Building Penn it #
Building Official
Date
$
$
$
3Q.SQ
.50
AD.CD
Pai~ Llo, {}O
Date ,I 3
it - /~3-
. Receipt t; L/ () tCJ
BY~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prinr Lake, MN 55372-1714