HomeMy WebLinkAboutPlumbing 03-0998
.-
,OF PRIOR LAKE
.-'4SPECTION NOTICE
'3 Sa l
DATE
SCHEDULED ~-17-o~
F;x. \~~\J'r-
TIME
ADDRESS
#7
OWNER
PHONE NO.
CONTR.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
PERMIT NO.
~- 'T'1B
COMMENTS:
- .
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EJUGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o G SLINE AIR TST
)( ~ ~;"(~'-<--
-
-
-
-
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- M~~,t/ _
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~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORREC'7JI/;, CALL FOR REINSPECTION BEFORE COVERING
Inspector: W/ ~ _ Owner/Conlr: _._
CALL 044i~; FOR THE NEXT INSPECTION 24 HOURS IN ADVAN9'1
CODE REQUIREMENTS ARE FOR YOUR PE/lSONAL HEALTH .{ SAFETY!
U<SNo"
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
(Please type or -print and sign. at bottom)
ADDRESS
352-1 ?ox
!J:1 / L-
LEGAL DESCRIPTION (office use only)
LOT
OWNER
(Name)
(Address)
ADDITION
BLOCK
(lrrxed;jqd Vlulv1~;~
7'2 70() ~l,^"( D"-a; I
(Address)
(Contact Person) Ttw1-\. f./ock
'PLICANTSIGNATURE ~
APPLICANT
(Name)
(Address)
Quantity
I
I, Blue
2 Gold
) Yellow
File
City
Applicant
7. 2-'7 tiJ
~ ~ 0:.\<\
I PERMIT NO'OI-0?9b
77~
ZONING (office use)
IZI
PID ZS-. J7r.-. tJ/~ (>
. (Phone)
(Phone) (95i\ q (; 9 -t(toO
'- ./
t-~(C(u/llc -55'0'14
(:~~:~) G n) 2 ~/_ ~i? ~~
DATE 7/7~/n?
APPLICANT PLEASE COMPLETE BELOW
Quantity
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
Bar Sink
Water Closet (Toilet)
,
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
(Office Use Only)
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $ Building Permit # (} 3 - o'i1 ~
PLUMBING PERMIT FEE $ 315()
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ /10. {i()
r Paid efo trU
I Date7 l-'I. () }
Receipt Nt:, 7! 'f I-
By .d-.
(/
'his Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for an inspections (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714