HomeMy WebLinkAboutPlumbing 03-0582
/,iY OF PRIOR LAKE
/' INSPECTION NOTICE
ADDRESS
/Lln4
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
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DATE TIME
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1" /"bi I
SCHEDULED
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,
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~RK'J?'LL FOR REINSPECTION BEFORE COVERING
Inspector: .r (/f/ q - )),r03.,ner/Contr:
.
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
JNSNOT>
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 6/03
(Please tvD~ or orint and silUl at bottom)
ADDRESS
14 f5 3 '-J fVl~J~ trtA-i J &n.cthe.~
: ~~ ~::y I PERMIT NO. ()0.,#, ,<<>rli
3. Yellow Applicant 0 :v OO'l--
Zo,~G (offip:.,use)
,/S.v
LEGAL DESCRIPTION (office use only)
, LOT t/BLOCK / ADDITION @~ a~ tj"'tl--
,
OWNER F' \ -,--
(Name) ~1lX ~OY\; I ...e/'f'V~J
(Address) 143,?1 fV7cy>)e. wiU I b. E:.
~;;~~ANT ~O,~\O\N\ t'lUM'\bil'\t2f,
(Address) 2'105 ~M!ield Ave\)6c.
(Address)
r-- f'PLICANT SIGNATURE Q#~ .-'----~-
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APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
<<or Sink
I Quantity
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REQUEST F
INSPE OR FINAL
In HOME CTION SENT TO
OWNER 8/19103
EstImaltiU....._
(Contact Person)
- '1_...\
FEE SCHEDULE
with a $39.50 minimum
~Pl
PID C)5-/3f~(JOtJ()
(Phone)
(q5'Z) 22~ -bCfro'1
. (phone)
l'v\>\s
(CIty)
(lDLZ) '827- 4033
5'S,/O~
(Zip Code)
(Phone)
DATE
5" /K )03
Type of Fixture
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backtlow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
Residential, New One & Two-Family $99.50
Residential. Additions & Alterations $39.50
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Olliee Use Only)
I~'fhis Application Becomes Your Building Permit When Approved
,
r
Building Official
Date
3"1.SO
.50
'-IO.tJO
Paid '10!-
Dat".t;_ / t, - 03
Receipt No. i J /
UHL:)'-f!
By
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24 honr notice for aU inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714