HomeMy WebLinkAboutSewer Permit 99-0977
UA I I:: liME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
e/tq/n z. : 30
5.355 J4077f~0~
CONtR. ~r.9~ 97Z~
PHONE NO. PERMIT Nc?l 99,. 978
o FOOTING 0 PLUMBING RI t/ . rf"'~ ~VGRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
o FINAL 0 PLUMBING FINAL ~ 0 G~~IN~ AIR TST
o SITE INSPECTION 0 MECH FINAL ~ J( -I:f:.I-CJ tltJo/fC. Or'
COM~ENTS: I" j~hltP .!,~ ~ ~( /
~ ~ ~'t'_.JJ1--~ ~.~--c.7S
i:c; ~, -, II (
~~~.~~~-
~ VJ&-d rn-t.../..... ~ ~ - ~ ~
~ J-, ~ ~ -~J-, ,.nJ-,.
U J
.~ ~ r1...-
SCHEDULED
OWNER
,.
/'
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~RK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ I Owner/Contr:
- --
/~"\.I ~ )
\/ (}J\Jl/ !)_ \ I /
/ \.' it-' /
( ~ \r 9.l //
\ I--.-/,
~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
.
II
GREEN . fILE
YELLOW . APPLICANT
GOLD . CIT Y
CITY OF PRIOR LAKE NO. CJt:J- 977
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the City.
APPLICANT: K/l/C.-GN Lt/{!,A/
I
ADDRESS: 5355 /40 7?T ~ / N E:
:~::A::::~a~~~~ ~(
PHON.E: tot ;).- If/f.r - ()...S If 0
DATE: e/CJ ,/qq
BLDG. PERMIT # q9-977
PID#2-5 -Ofpfn- ()nS- 0
FILL IN THE BLANKS
1. Estimated length of water service
feet.
2. Size of water service
inch(es) .
3. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS
PVC
Cast Iron
5. Estimated length of sewer line
feet.
6. Clean out (if required), located at
structure.
feet
from
BY
r
ecomes your permit when approved. /
/ DATE: ~/9 /99
"--"'" I
This
---------- -------------------------------------------------------
---------- -------------------------------------------------------
FEES:
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
*
Fee for either sewer or water
$ .50 surcharge.
individually
is &.~;:;lUS
* 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.
6/q /qq
. , .
358 L/-f6
AMOUNT PAID 0 ~ /B. 00
/f. JJ -
REC/D BY ~/
t
DATE PAID
RECEIPT #
4629 Dakota 51. 5.E., Prior Lake, Minnesota 55372 / Ph. (612) 447.4230 / Fax (612) 447.4245
AN EQUAL OPPORTUNITY EMPLDYER
.-. I Ti
- T
-rT'.