HomeMy WebLinkAboutPlumbing 03-0995
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
Ntyey
1 t.f2-~:;- ~,~ ~u-a
TIME
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
"5 -LiCir
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 EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
A- J7~t:~re~~
COMMENTS:
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n
<..;.
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC~LL FOR REINSPECTlON BEFORE COVERING
Inspector: . Owner/Contr:
CALL ....7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOn
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
1- Blue File
2. Gold City
1 Yellow Applicant
[PERMIT NO. 03 - q 1S(
(Please'!vp~ or print and siq;n at bottom)
ADDRESS
/42'35 fiun-l-ttUf1 l-!iL/s(!f:
LEGAL DESCRIPTION (office use only)
LOT ~ BLOCKS ADDITION -q;VI- cI/e}J.o ;;( ~
~W;:~R Mendeth HIII}U7
(Address) - SI.1 YYtf? ~ AS above.--
APPLICANT
(Name)
(Address)
(Contact PersoTl)
\ ZONING (officeu<<j
PlD !9 5- 3fD- tJL/3 -0
(Phone) bDI-62-q-{859
':'." UGJlN WATr::P. rONnlTIONING
6030 CULLIGAN WAY
t.1IrN~TONKA, MN S5~A~
(Ad res 52) 933-7200
(Phone)
(City)
(Zip Code)
(Phone)
'PLICANT SIGNATURE
DATE
&~23-63
Quantity
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
!jar' Sink
water Closet (Toilet)
Quantity
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washin!! Machine)
Sewage Ejector .
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
lndustrial, 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 $ 1Dt)--
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
:51.50
.50
4(). fX)
_.(Omce Use Only)
-his Application Becomes Your Building Permit When Approved
Building Official
Date
Paid ~ 0 /,/.r
Date-1~ o-S/3
ReuTt 'P11
BY~
V
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-17t4