HomeMy WebLinkAboutS/W PERMIT 94-0198 DATE TIME
CITY OF PRIOR LAKE t� e ,. CALLED-IN
INSPECTiON NOTICE � SCHEDULED
PERMIT NO. �- ��� r l �� COMPLETED �'Z - s"a H 1 b:�l-S�
ADDRESS � � f�ti� N#-. P�- �. - - - - - - - -----
OWNER CONTR.
� TELEPHONE NO.
u,� D FOOTING ❑PIUMBING RI OSITE INSPECTION
�- ❑ FRAMING ❑ MECHANICAL O EXCAV./GRADING/FILLING
y❑ INSUU4TION ❑ WATER HOOKUP O LAKESHORENVETLANDS
�❑ WALL BD. METER SETlrURN ON ❑ COMPLAINT
Z❑ FINAL WEfi HOOKUP � FOILOW-UP
Q O FOUNDATION O SEPTIC INSTALL. ❑ SEPTIC FINAL
2 O DEMOL. ❑ SEPTIC MAINT. O FIREPLACE
J � FIRE PREV. ❑ PLUMBING FINAL p
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W ❑� ORK SATISFACTORY:PROCEED O PHOTO TAKEN
0.� CORRECT WORK AND PROCEED
�❑ CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERIIVG
V ❑ CORRECT UNSAFE CONDITION WiTHIN HOURS. iNSPECTOR WILL RETURN.
❑ STOP ORDER POSTED. CALL INSPECTOR.
❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
call for the ne spection 24 hours in advance.
Owner/Con . i
tnspector 447-4230
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CITY OF PRIOR LAKE NO.��
�y .��' SEWER AND WATER PERMIT ,
�NNES� .
NOTE: Sewer and Water
contractors must
be registered
with the City.
APPLI CANT : f�,�%O,� �i�y� ��������lv PHONE : ��� /���
ADDRESS : _ �3p� � ��O r/ S�. DATE: /l -��- 9�
SIGNATURE: BLDG. PERMIT #'. �
SITE ADDRESS: �lpQ�l� ,ST` �i4G�� �� �`L; PID# d�s' 9�r�
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
5. Estimated length of sewer line CLOSED DUE TO
6. �lean out ( if required) , located �ACTIVITY 8/30/O1
structure.
This application becomes your permit when approved.
BY DATE • il�Z�f !j[f
FEES: $ 35:00 Sewer and water line connection permit.
$ .50 Surcharge ,
. $ 35.50 TOTAL
* Fee for eithe sewer or water individually is $20.00 plus
$ .50 surchar
* 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 /I��� AMOUNT PAID •S�
RECEIPT # aZJ�I �I REC � D BY
4629 Dakota St. S.E., Prior Lake, Minnesota 55372 I Ph. (612) 447-4230 / Fax (612) 447-4245
AN EQUAL OPPORTUNITY FINPLOYER �