HomeMy WebLinkAboutPlumbing Permit 03-1299
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
C/..J.t -~
--;. ,
ADDRESS
/72-1.\ fA/,'J,j~rh" Lt'
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
'3-/lr&f
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADtFlLLING
o COMPLAINT
o FIREPLACE R1
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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c;,~.c:~ /.-r~
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( / lAC"
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/
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J'(iORK SATISFACTORY, PROCEED
o CORRECT ~CTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: f/I/P q - U -17 Owner!Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
T
''''''''''
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
tJ 2J. OJ
I. Blue File I PERMIT NO I
'Gold co" ./17 _/'7/J/A
3. Yellow Applicant U-.J L/7-'
(Please,!'YPe or print and sign at bottom)
ADDRESS
/72.J5 W/vODVV6JJ e:;;T
ZONING (office use)
,el
LOT
LEGAL DESCRIPTION (office use only)
BLOCK
ADDITION
PID z(: 370 {JoB 0
(Address) (City)
(Contact Person) <;1;// e:.. I:.IA r t?-. (Phone)
"PLICANT SIGNATURE .~.&<--> ~ DATE
APPLICANT PdASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (J or 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
OWNER
(Name)
(Address)
(Address)
Quantity
(Phone)
/; ~O
(Phone)
fYa~
) 6 ) -' '-113 - /3 g 3
5.9J11
(Zip Code)
J2r.
q -;).c;-63
Type of Fixture
~
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
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 # 62 - .~
PLUMBING PERMIT FEE $ .5 'I !JV
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ 4-0. W
(Office Use Only)
"his Application Becomes Your Building Permit When Approved
Building Official
Date
pai~O, UlJ
DtJ z..S () 'J
Receipt No. 1--3
4A)&,
By -1'-'
a
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714