HomeMy WebLinkAboutPlumbing 03-0536
DA. TE TIME
SCHEDULED q-~J3
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CONTR. U
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
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OWNER
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
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COMMENTS:
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3-5.5( 3 -S3~
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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p.4fclRK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
Inspector: <P A
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CALL 447_R850 FOR THE NEXT '''':,;PECTION 24 HOURS IN ADVANCE.
IIiSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
--'---"'-'_.'~-"--"'----"-~~"---"--'-'-~--'---'-"'-""".-----.-T~--.-.--------
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT II/so: 03-534
LJ3- 531
:;;1 c.. I-Ar fYI j~//~Ij
I. 81", FiI, I PERMIT NO'rJ3- _ ~-:2~
2. Gold City ----...1:..J.
3. Yellow Applicant
_ (Please.!,'pe or orint and sign at bottom)
ADDRESS
3656 ~C'''''^L {l....S'S
\ 53 74 Tt;F'""~c.,-I1<, f~5
ZONING (office use)
PI
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (I or 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
LEGAL DESCRIPTION (office use ouly)
iB I
LOT q BLOCK '< ADDITION ~(A-L
L~esr
OWNER. ,
(Name) l_A.),o,N-::,IV'V\/"-."-J
I I ._,^^ hr
H r J-."..'I""".........
(Address)
APPLICANT,
(Name) Cl..\,a ll.~j "if"
(Address) 124s0
I Po"N'V L'\f.4{"" .+--I'.2..?
L..\NRiYV kVt!: "-
(Addtess) ~O~4 t--l,."n~...'L c..r )
4 ~ Mt::lI,l i-\Vl.7 -
(Contact Person) L I! i ,-( .
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APPLICANT SIGNATURE ~ r__ /'-
Quantity
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
Estimated Cost $
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
.
mes Your Building pfrfit When Approved
c;ft /03
lrUi ding Oincial~ f I Date
PIo.15- 315/0- OI8'-()
.
(Phone)
(Phone) 4S2 40'\ '1012
~I\,^&!:E
(City)
(Phone) (,I L.
DATE
""-~'Z--'/A
-(Zip Code)
<,1e'1 ~ODI
~/-63
Type of Fixture
"'f-
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
, Backtlow Assembly
Backtlow Assembly Test
Lawn Sprinkler
Other
Residential. New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Building Permit #
31",0
.50
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Dat~ 'h--03
ReC?J1 t/5'I!,
By fIJ
24 hour notice Cor all inspectinns (952) 447-9850, Cax (952) 447-4245
16200 Eagle Creek Ave" S.E., Prior Lake, MN 55372-1714