HomeMy WebLinkAboutPlumbing 03-0201
,
OATE TIMe
SCHEDULED q - n-03 \:36
LJ,'l~s LV) .
CONTR.
PERMIT NO. .3 - d..O I
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
AllY
OWNER
PHONE 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
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASL.INEAIIUST
,1l(J6kI-... c:....~
COMMENTS:
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~RK SATISFACTORY. PROCEED
~~RECT ACTION AND PROCEED
o CORR0flC 'K. LL FOR REINSPECTION BEFORE COVERING
Inspecto Owner/Contr:
CA ~ -~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~REMENTS ARE FOR YOUR PERSONAL HEALTH" SAFETY!
.. INvron
Date Rec'd
CITY OF PRIOR LA Kif. PI.TTMBING PERMIT
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 5/03 /,~}~:~: ~::y I PERMIT NO. ,,1J...~ 70/. I
QCt-11e:cr- 5a..Id the-II aKF~' J. Yellow Applicant Ir J (,),tV
~!e...~orDrintandsimatbotrom) Hom~ (0- b-OC8 . ~.
ADDRESS (c,,2 '> G(oflicell$e)
2.1.4 ",rllds Ln. NW. P UD
5'SD1-0'~-O
={=I"=::n9~k r;~
OWNER ... , J. (\ i V
(Name) VLfI)bt K.1e..tcL:t
(.;5tLVYU... a5 M::o ye, J
PI
(Phone) /,,/2-2.10- 3'132-
(Address)
APPLICANT
(Name)
(Address)
CULLIGAN WATER CONDITIONING
6~30 Ol.::"IJS.W-W:'Y
MINNETONKA, MN 55345
(Address) \~D2,11')')'7'';'''
(Phone)
(City)
(Zip Code)
(Contact Person)
0T"/~
(Phone)
APPLICANT SIGNATURE
DATE
/-27-03
,.
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (I or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) 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 Pennit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
40.0D
.50
An. ':"f)
(Office Use Only)
.-1 This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid 1P '-10 ,-- Recei~; 1 q 0
Dat~_d5~;:) ~
,~
24 hour notice for all inspections (952) 447-9850, fax (952) 4474245