HomeMy WebLinkAboutPlumbing 03-0997
DATE nIlE
CITY OF PRIOR LAKE f;~/t..
INSPECTION NOTICE SCHEDULED
ADDRESS Ie I (.{') [::7/1 ~/f.....
OWNER CONTR.
-
PHONE NO. PERMIT NO. :J-ff/
-
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
If J.- (;
o ElCIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASL/NE AIR TST
o
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COMMENTS:
-
/
/ / l f)ck-
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--- ..-.=:= --........-
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-
-
,4'ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC~ ~CALL FOR REINSPECTlON BEFORE COVERING
Inspector: 1!J t5- ,,/ j..~cf'>: Owner/Contr:
CALL 447-98~Q FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
INSNoTJ
JUL-21-2003 15'23
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CITY OF PRIOR LAKE
9524474245
P.0V01
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~'" tvDt or oriJtt ud. sim at bottom}
I ADDRESS
i LP 1 LJ ') .r Ii 1t'Y1 {J [f.f
~ ~1. ~~Ii~" [PERMIT NO. ~ 3 - 9477
I~ , , ZONING 1.1fI".", I
mU/i1ue-.S'f
LEGAL DESCRIPTION (otlle. use only)
LOT L/ BLOCK 0/ ADDITION
/i2r}~tJ/k;/ld~ ila b -PCpID;;/$ -;['7- J5/--Q
~=R.. 'hnJCP, ,<)1 e_
(Address) It Q ) L/ ~~ C Ii I m ()\/ ~
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APPLICAbp; r ~ /J
(Name) I" I th-hf' Irl ~/.u1'Lb1r1j Cr).
(Address) Xl040 +Io.-rvld Ilv-f.j J /C{)
. (Address)
(Contact Penon) J<01Jj . ~ s. .
APPLICANT SIGNATURE _~~. ./ ~tz.4-'f//'f/
..-'--- (Phone)
Pr il)(l Jl Vfl-
q t)~ - L-/ '-/7- 5.).-7 -;.,
MD t<J537A-...
(phone) q5a- J(J( /- =?~ ''\'"7
Blmm'11gtDn- . 81J ~;z{l
(City) (Zip Code)
/~"'" ()
. (Phone). <..AA.1/ ~
//2,/02
_ DATE
-,
APPLICANT PLEASE COMPLETE BELOW
~ Qoaqrity
I Type or Fixtllre
Bath Tub with or without shower
I Dishwasher
I Floor Drain
I Lavatory (Balhroom Sink)
I Laundry Tray (lor 2 comparanent sink
I Shower Stall
I Sinks
I Bar Sink
Water Closet (Toilet)
Quautity
/
I Type or Fixture
Rough-ins
I Water Heater
I Water Softner
I Stand Pipe (WashIng Machine)
I Sewage Ejector
I Backflow Assembly
I Backtlow Assembly Test
I Lawn Sprinkler
Other
j
J
J
I
I
-j
I
I
FEE !K.......uULE
Industrial, Commercial It Multiafamily .-;.. of job CO$I wjth a SJ9,jO minimum ' ResidentiaL. New One &. Two-Family $99.50
Residllttial, Additions &. Atterations 139.'0
E.limated Cost S
(150 oJ
Building Perm it N
(orner: Ute Oftty)
PLUMBING PERMIT FEE $
STATE SURCHARGE S
'FOTAL PERMIT FEE $
39. 50
,50
400()
This Application Becomes Your Building Permit Wben Approved
aaUdl_, Om~i.1
D...
. Paid 1./0. -
Dare --1-'?-?-?
Receipt Nt! t/ 3' 1 ~
By Cf
)
24 bour nOlft:t f(lf aU in;pec:uons (9S2) 447-"50, tax ('52) 447--4245
16200 Eagle Creek Avo., S.E_ Prior Lake, MN SSJ71-1714
TOTAL P,01