HomeMy WebLinkAboutPlumbing 03-1088
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
~/zUe<.
ADDRESS
lL{2..3t
OWNER
CONTR.
PHONE NO.
PERMIT NO.
""j -.{D~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING Rl
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
o
COMMENTS:
(AM.M. TVV\~~
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:.::O:ECT W~tL FOR REINS:::I::n:~FORE COVERING
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETY!
IN$NOn
,____~_____..__._ . H ___.__.___..'.__..._ '._. ..__..__._.._.._._____"___
JUL-29-2003 08'42
CITY OF PRIOR LAKE
9524474245
P.01/01
,
"'-
CITY OF PRIOR LAKE PLUMBING PERMIT
,Date Rec'd
(Pleasel\pe or orin.t..and siM at bottom)
ADDRESS
/c/~3((~td~o(~
I,Blue File
%. Gold Cill
3. Yellow A/lp!lcm
I PERMIT NO. ;)la-IDlyj
ZONING (om"u"l .
PU()
LEGAL DESCRIPTION (office U$e only)
LOT' BLOCK tI ADDITION
OWNER
(Name)
(Address)
~/rvl rfJ~ Lla
N
~, 7rJ,A &tZ1
YL;831 (!~~ ~~ ,
.
PIDd5- d/LJ-6SCYO
, (phone) CiS".J- -B?S--R()/~
G?U-rl ~~__
APPUCANT ./"D /JWt-;' () ~/1
(Name)_DIa _ :;:/kn Cu,_ (P,hon~ ~/.) -cf!~9__70S /
(AddreSs)/73/- , ~ ~ ~~.L L~q ~ 0;-.5 f/~s
(Address) , - ~ -7; (City) I (Zip Code)
(Contact Person) O~ .r:e; r:./l dt., f f ~ /1 j'ho;?e) r; (.J- - rF" 9- 7-5 -:.? /
-' \PPUCANTSIGNATU~~,}/~A<~ DATE ~-/S-:-OJ
APPLICANT PLEASE COMPLETE BELOW
I Quantity Type of Fixture Quantity I Type D
I Bath Tub with or without shower Rough-ins
."
I Dishwasher Water Heater
I Floor Drain Water Softner
I Lavatory (Bathroom Sink) I Stand Pipe (Washin
I Laundry Tray (lor 2 compartment sink Sewage Ejector
I ." Shower Stall Backflow Assembl
I Sinks Backflow Assembl
I I Bar Sink / Lawn Sprinkler
I, Water Closet (Toilet) Other
fFixture n
g MaChIne)
Y
ues~_
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of jOb COSt with a $39.50 minimum
Residential, New One &0 Two.Family $99.50
Residential. Additions & Alterations $39.50
Estimated Cost $ . 5 P-V_t2..D.
Building Pennit #
(Orne. u.. Only)
"'"his Application Become$ Your Building Permit When Approved
PLUMBING FERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
s9,S-o
.50
'7/ /J _ t7{)
BuUdln,Offiei.1
V,t.
Paid ijt) --
, Date 'if'" Ie; - 03
I ReceiPij5 '5 J-/
, BY/)
tfI.
24 ho", notioe Cor alllnsp.etion, (952) 447-9850, Cn (952) 447-4245
16200 Eagle Creek Ave., S.E.. PrIor Lake, MN 55372-1714
TOTAL P.01