HomeMy WebLinkAboutS/W Permit 94-0065 � • DATE TIME
CITY OF PRICfp LAKE G�►u.ED-IN
INSPEC SCHEDULED
PE IT NO. �� L� - a4-Ca�' Co�AP�ETE� "tb-Qe�- � Z� o�
ADDRESS S Q L 3 l ��' $�
OWNER CONTR.
� TELEPHONE NO.
W❑ FOOTING ❑PLUMBII� RI OSlTE INSPECTIC3N
� O FRAMING ❑ MECHANlCAL O EXCAV./tiRADING/FILUNG
� ❑ INSULATION �,.C�WATEH HOOKUP ❑ LAKESHORE/WETLANDS
�❑ WALL BD. CJ METER SET/TURN ON ❑ COMPLAtNT
Z ❑ FINAL �.�8"SEWER HOOKUP ❑ FOLLOW-UP
Q � FOUNDATION ❑ SEPTIC lNSTALL. � SEPTIC FINAL
2❑ DEMOI. ❑ SEP7tC MAINT, O FIFiEPIACE
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w❑ W K SATISFACTORY:PROCEED D PNOTO TAKEN
� RECT WQRK AND PROCEED
C� CORHECT WORK. CALL FOR P,EINSPECTION BEFORE COVERING
V ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WIIL RETUNN.
C7 STOP ORDER POSTEO. CALL IN3PECTOR.
❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
call for the next in tion 24 hours in advence.
Owner/Contr. o sit
Inspector 447-4230
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CITY OF PRIOR LAKE NO.1��
•L��NNES��p' SEWER AND WATER PERMIT ,
NOTE: Sewer and Water
contractors must
be registered
with the City.
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APPLI CANT : a�J sy ! PHONE : �yj'} �5(�
ADDRESS: 5����-° /�D ��� �. (�'� �-- DATE: t�Tt�
SIGNATURE: BLDG. PERMIT # �
SITE ADDRES . �/�i;.-C. PID# oZ °�Z�'Q�!
FILL IN THE BLANKS
1. Estimated length of water service /QC� feet.
2. Size of water service inch(es).
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3. Location of any couplings from structure 7�— feet.
4. Type of sewer pipe. ABS PVC ' Cast Iron '
5. Estimated length of sewer line /c�J1J feet.
6. Clean out (if required), located at D� feet from
structure.
Th' applica i becomes your permit when approved.
BY DATE: C� � Z r QQ-
FEES: $ 35.00 Sewer and water line connection permit.
$ .50 Surcharge
$ 35.50 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 G��Z�9� AMOUNT PAID ��
RECEIPT # 0�.37�G REC'D BY Q ,�i
4629 Dakota St. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / Fax (612) 447-4245
AN EQUAL OPPORTUNITY EMPIAYER �