HomeMy WebLinkAboutPlumbing 03-1183
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CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIllE
SCHEDULED
/()-C~tB
ADDRESS
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1=lIYWA/ f.I. fs "Tr-
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CONTR.
PERMIT NO.
3 -1/lr'Z.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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h'f~pJ, ~
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~ SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~)f~' ~L FOR REINSPECTION BEFORE COVERING
Inspector: V vy;, Owner/Contr:
I
CALL 447-9850 FOR THE NFlCT INSPFCTlON 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
uaNOn
~IY 31 O~
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
9. tf--. () 3
(Please type or print ~d s~gn at bottom)
ADDRESS t'lIfV
/5:.?OJ' /,9/,e" H.E/~H7J ~I
; ~::: ~:,: I PERMIT NO. Q"l? .-/I~ 't I
3. Yellow Applicalll 0 lJJ
ZONING (office use)
..
LEGAL DESCRIPTION (office use only)
LOT
BLOCK ADDITION
PID z.~. ?7" ' JiZ~. ()
,
OWNER
(Name)
V~N.5H-'W~
HOHe.s
(Phone)
(Address)
~~;;~~AN}R.el. 5/0..t. f't.-B,(, f
(Address) /,,2r/b7 Z/~"'AI ,AY'.t!-
(Address)
(Contact Person) CAlf!' L
..APPLICANT SIGNATURE ~~
/lr~
(Phone)
9_"-.z- R7V- 7600
5S3?,?
(Zip Code)
JAt/Atf~
(City)
(Phone)
J"A~~
9'hVo?
DATE
APPLICANT PLEASE COMPLETE BELOW
Quantity Type-oiFixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom SinK) ..
I Laundry Tray (I or 2 compartment SIllK
I Shower Stall
I Sinks
I Bar Sink
I Water Closet (Toilet)
tJuantity
I Type of Fixture
Kough-ins
I Water Heater
I Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
I Backtlow Assembly
I Backflow Assembly Test
I Lawn Sprinkler PV~ t!hUIY
I Other
/
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 Permit # ,'3. / / flY
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
,~ 9, 5'"0
,50
</CJ~ tAD
(Office Use Only)
_1 This Application Becomes Your Building Permit Wheu Approved
Building Official
Date
I pai1tJ,(/l)
I Dat~r. 6?
ReCejpr!~ 7'
By .dJIL-'
i
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
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