HomeMy WebLinkAboutS/W PERMIT 94-0089 ��� T1ME
CITY OF PRIOR LAKE ' - GU.�ED-iN
INSPECTION NOTICE SCHE�u�E� '�_`� � �o
PERMIT NO. C 1 � -� COMPLETED
ADDRESS � Z4 � �i SIn C� r
OWNER CONTR.
� TELEPHONE NO.
�yy ❑ FOOTING ❑PLUM8ING RI ❑SITE INSPECTION
� ❑ FRAMING ❑ M CHANICAL ❑ EXCAV.tGRADINGiFfLLING
y❑ INSUUITION �-V�IATER HOOKUP O LAKESF40REM/ETLANDS
� C WALL BD. ❑ N�TER SET/TURN ON ❑ COMPWNT
2 O FINAL g�EWER HOOKUP ❑ FOLLOW-UP
Q❑ FOUNDATION ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL
2❑ DEMOL. ❑ SEPTIC MAINT. ❑ FIREPLACE
J Q FIRE PREV. O PIUMBING FiNAL p
= COMMENTS: ^
� � r cS�K!'y. li e�i �
o � 1 �o
Q �- �. 4 d . �-
4 I f �//_ � /�
¢ � �["�G�w I�lw _ c�J� TL 1-�G� l� tw n��,o � CCA�`f�-�•� _
� �- t l� St � �1��-- S� l�.-�� in � a d vJ rdc . ll� '
�-
¢
O
Q �� c.N�R.� t�G.A���-:.a r�r@�.Q. c�..Q�.��—G��' -
Q
�
2
w
�
W
Q
�
O
W
Q
w C WORK SATISFACTORY:PROCEED O PHOTO TAKEN
C� �CORRECT WORK AND PROCEED
C3'� CORRECT WORK. CALI FOR P.EINSPECTION BEFORE COVERING
V ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN.
❑ STOP ORDER POSTED. CALL INSPECTOR.
❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
call for the next inspection 24 hours in advance.
Owner/C o site
Inspecto 447-4230
Ys�bW �vy ��P►��ror•� F�s
� ��,
GNEEN - FILE
O � P R I�� � �� re��ow -��c,�►�
� �, oo�u - pTr
� �
U � �
CITY OF PRIOR LAKE NO. - �
�j� SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be regi.stered
with the City.
APPLICANT : �O 2 �/-/u C= ,Y� - �a � t?✓zG ) PHONE : �,�,? -�> > .t`
ADDRESS I n� 3 !�v! L pw s� C/L_. DATE: �� �
SIGNATURE: BLDG. PERMIT # �
SITE ADDRESS : I`�.1 Y o /�,S'N C�- . PID# �.,�`-� 7��Dlb `�
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 - d feet.
4. Type of sewer pipe. ABS PVC K Cast Iron
4
5. Estimated length of sewer line $� feet.
6. Clean out (if required), located at 30 feet from
structure.
This a 'c becomes your permit when approved.
BY DATE • �'��\'""� `�
FEES: $ 35.00 Sewer and water line connection permit.
S .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 PAI D ��_�-�. ,� AMOUNT PAI D 3`� . 5
RECEIPT # �-� � � REC' D BY �'��`.�
4629 Dakota St. S.E., Prior L.ake, Minnesota 55372 / Ph. (612) 447-4230 / Fax (612) 447-4245
AIV EQUAL OPPORTUNITY F1v1PIAYER �