HomeMy WebLinkAboutSewer Permit 99-0648
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
WI/crt /:30
3S0c.f BASSWooD
SCHEDULED
ADDRESS
OWNER
CONTR.
!
PHONE NO.
PERMIT NO.
C;~-~4-B
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLING
o LKSHOREIWETLAND
o COMPLAINT
o SEPTIC FINAL
~FIREPLACE .1">>- ,~
?'" sew~ I<ErrO,t<-
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COMMENTS:
Pl.~(;;() 20' Se~~ P/Pt'
MISStD,..! CcoPL1>--'b NC- 1b ~sr.
.
L;JI(;., F,,)<;. UJ ~ l,NG
v~
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ri'~~RK SATISFACTORY. PROCEE~ 'i' \
o CORRECT ACTION AND PROCEED
o COR..", WORX, <Au. v~,., "ON ."0" """'"""
Inspector: ~ Owner/Contr:
I
CALL 447-4230 FOR THE EXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
- Th..
GREEN - FILE
YELLOW - APPLICANT
GOLD - CIT.,
v--
CITY OF PRIOR LAKE NO. qq /Pep!
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the city.
Ir~ f).-fj-
APPLICANT: '-~ ~
ADDRESS: J LfSQ 3lJ c9- /Cf.- ~
SIGNATURE: tJ"~-
SITE ADDRESS: 15D tf
,e/SBLL
1.
Estimated
PHONE: .3 5:-7 r- '3 s: () d-
DATE:5.-- J--% --/7
BLDG. PERMIT # t1f-t,c/$
.. .....~~#~5-IIO -Oz.s-O
IN THE BLANKS (j~_ '\
length of water service to feet. -
. /
2 .
Size of water service inch(es).
Location of any couplings from structure ~() feet.
Type of sewer pipe. ABS PVC ~ Cast Iron
Estimated length of sewer line~() feet.
Clean out (if required), located at feet
structure.
from
3.
4 .
5.
6.
=====================7,============================================
This ap~bAJ~~r permit when approved. /
BY. ~ DATE: 5"~8/qq
, /
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FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
* Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued.
DATE PAID S-/2--8/t?Q
RECEIPT # .3.)3 ~ r
AMOUNT PAID ,2..0.bO
REC'D BY ~
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 553721 Ph. (612) 447-4230 I FAX (612) 447-4245
An Equal Opportunity Employer
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