HomeMy WebLinkAboutPlumbing 03-1079
DATE TIME
CITY OF PRIOR LAKE k-Irr
INSPECTION NOTICE SCHEDULED
ADDRESS J-~617 fLJ~r.a.-l--
OWNER CONTR.
PHONE NO. PERMIT NO. g -IO)r
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RJ o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: Gy,'1 II Lt y
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT,';O~'}fALL FOR REINSPECTION BEFORE COVERING
Inspector: r V(/ €;r t(~ OwnerlContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
Il'iSNOTl
CITY OF PRIOR LAKE
9524474245
P.01/01
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(P1eue'!yp! orwiftr and siJat at boROtn)
IADDRI!SS
2.6.9 ~ IS \) be,,- + -n-A.'I I
NW
LEGAL DESCRIPTION (olli<< use only)
LOT BLOCK
OWNER
(Name)
(Address)
ADDITION
Lee PY'l~,V\
289ry Aohc..lA~ lnit! NvJ
APPLICANT A I. I - i'> I I ' T
(Name) r'\ I S..t.( e. I 1.\111 ~I Vl~; he.
(Address) ,,34Q QIAe.be.c Av~. tvor-K
(Address)
(Con.act Penon) Le. -rY,!l I-\. 1\ LV e I (
APPLlCANTSIGNA~~
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I quntitY
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I. 11I,- File I PIERMIT NO
: ~:~ ~:;,,,, L_oo .. . 03 -/ O~
ZONING (_ UN)
PID ZS. 382. OIc4-. (.
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. (Phone)
-Prior L",k, h N
,
(Phone) 7t,3-S3?-9SS~
~ro()kl~1A ~yk , fir! .;;5</28
(City) . (Zip Code)
(phone) ') (,,3 - Lj ,,1/ -D'f l]B
DATE 8-/3-113
APPLICANT PLEASE COMPLETE BELOW
Type bt Fixture
Bath Tub with or without shower
I Dishwasher
I Floor Drain
I Lavatory (Bathroom Sink)
I LaundryTray (J or'2 companmenr sink
I Shower Stall
I Sinks-
I Bar Sink
I Water Closet (Toilet)
\l..-\'~'
QuantiI)'
lYpe of fixture
(v
"'"
Rough.ins
Water Heater
i Water Softner
I Stand Pipe (Washing Machine)
I Sewage ~ector
I Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
I Other
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FEE SCHEDULE
tnduSlrjal, Commercial " Ml.llti~nunily t~. of job C03t witIJ . $)9,50 minimum Residential, New One It TWo-Family S99.SO
ResidOllti.~ Addition." AI_lions $39,50
~
Estimated COSl $~-
Building Permit N
PLUMBING PERMIT FEE $ 31 S.
STATBSURCHARGE $ .50
TOTAL PERMIT FEE $ ~ I4;JJVI/F/ '- I't#I($c;. 1t!L6I.
(Oflk'II"0nty,__, pi'^> <)Et -I...i~1 ~_,.\...;~
Tbi.s APPIi"~7},? v~r Buildlac Permit When Appro..d jl'aid t:f'd. 0 Cl I ReceIpt J!~2.z6
~,- e,6,oJ IDa~.Ir-.()? I By 1/.
BulldlnCOme... Dal~ 15. :::J. ~
(j
-
24 bour .011.. roulll. .. ,.. ,('51) 447."", r.. 1'52) .47-4245
16%00 EacJe C...... A..., S.E., Prior Laka, MN 55372.1714
TOTAL P,01