HomeMy WebLinkAboutPlumbing 03-0509
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
IWQfC 0v'~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
COMMENTS:
DATE TIME
~t?--7tcs
j - f)t!A
f
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
rW,.~r
-60~'t-~
~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
~
_ Owner/Conte
..,.
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH ,{ SAFETY!
lNSNOTl
. -.-----.....--.- . - - ----"-"--.~._.+
CITY OF PRIOR LAKE PLUMBING PERMIT
REQUEST FOR FiNAL
INSPECTION SENT TO
HOMEOWNER 6/03
(Please ~ or urint and sim at bottom)
I ADDRESS
1.-43/"i DYCX:>~N1Cfe:... f3\vd.
j
LOT
LEGAL DESCRIPTION (olliee use only)
BLOCK
ADDITION
OWNER
(Name)
(Address)
APPLICANT
(Name'
(Address)
(Contact Person)
~(AtJo. --&nSbn
-~
(Stt.fYlL.. tts, tlOOV"l..-1
()~
(Address)
/' -APPLICANT SIGNATURE
Date Rec'd
~ File
I City
JW Applicant
I PERMIT NOt?3--5 d1!
. -
l3,2 )
;'f;;G 7'"-
PIri)3- f3 fL/-IJ~ 7- ()
(Phone)q:s2-233-4Q 32-.
(phone)
(City)
(Zip Code)
(Phone)
DATE
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity I
Bath Tub with or without shower I Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Lawn Sprinkler
Other
I Quantity
I
I
I
I
I
I
I
'=- REQUEST FOR FINAL
INSPECTION SENT TO
In HOMEOWNER 8/19/03
FEE SCHEDULE
. wilh a $39,50 minimum
2/....r-.-
Estimated Cost $ l..A-'
Type of Fixture
Residential, New One & Two-Family $99,50
Residential, Additions & Allerations $39,50
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
"..-l This Application Becomes Your Building Permit When Approved
Building Official
Date
3Pl. '50
.50
AD . r::t:L
I Paid II t:J,-
I Date,S___/_(J3
Receipt NLitfo ~'1
BY~
24 hour notice for all in.peeJlon. (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714