HomeMy WebLinkAboutPlumbing 03-0735
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
40--0
l,ft).h\""" "'" h.::d
--
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
S' /l;:; '" /((",-
COMMENTS:
DATE nMe
8--(3
"3-73,$
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GA5LINE AIR T5T
o
.- ---~
~
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\ L-/ , ~
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: (Vy? 5r/3""-lI7Owne"Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
'!aNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
(O.~,Q3
(Please type or print and sign at bottom)
ADDRESSy5JO l-\~bLvcl
I. Blue File I PERMIT NO
2, Gold C;'y . (J."'. _ 0"7:;) A-
J. Yellow Applicant ...,;) I~":>l
-
\Vo..J.
ZONING (office use)
, LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDlTION
PID~- 349-0z.7-G
OWNER
(Name)
~
, APPLICANT
(Name)
Rob -rCLLs"~:v\.-t
~
(\U\.Vl~.J) \Ne.dcy (Phone) to IJ. 8DIOJ.l.t()
tDI4 3~ Ave &J H~"'iM 65350
(Addtess) (City)
(Contact Person) \:) ~') (Phone)
APPLICANT SIGNATURE ~ ',~r _ DATE
APPLICANT PLEA~ COMPLETE B~L~W
Quantity I Type of Fixture Quantity
Bath Tub with or without shower Rough-ins
I Dishwasher Water Heater
I Floor Drain I Water Softner
I Lavatorv (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks I Backflow Assembly Test
I Bar Sink I Lawn Sprinkler
I Water Closet (Toilet) I Other
_ (Phone)
Q6J.-Lf 9/0 - JLf 39
(Address)
(Address)
(Zip Code)
~
Type of Fixture
FEE SCHEDULE
IndustriaL Commercial & Multi-family 1% of job cost with a $39.50 minimum
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Penn it #
(Office Use Only)
_1 This Application Becomes Your Building Permit When Approved
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
09 . tt:>
.50
'1D.(Y)
1
Building Official
Date
'. Paid 41J" UlJ
Datu , ~ .0J
I Recei~ /3
I By It
O'J
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave" S,E" Prior Lake, MN 55372-1714