HomeMy WebLinkAboutPlumbing 03-0559
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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ADDRESS
/& lfCf't' fl1!JVlld4lA-!o
OWNER
CONTR.
PHONE NO.
PERMIT NO.
:$ -~-cr
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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.
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CAL R REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
-_._------'_...,---~'---_..,.,---- ,
Date Rec'd
----. ~ - ~~...,........ T . TTT.'I OT TTMBING PERMIT
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 6/03
5.12~ 03
~.:~ ~I:y. I PERMIT NO. a' ? -01 ~S91
3, Yellow Applicant ~ ~.
ADDRESS J f.J; if q g
:In urLdoUJ1fJv &am Ci
ZONIN G (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PID
OWNER J - I
(Name) ,_ fJlBW. V t.tu1n&
(Address) I t.P4Q<; =r:n Ulld ourz~ B(tU;h Ciruie-
(Phone) (q'j'Z-) LfLf7-SQ7Q
(Address)
'J-q 05
\. Jeff
(Phone) {j.pI'J)~~7-4D33
/S I $Jor
(Cit ) (Zip Code)
(PhOne)( U 11-) <6~ 7" 4D '32
tf (30 D3
DATE
APPLICANT
(Name)
(Contact Person)
PPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher I Water Heater
Floor Drain ~' Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (I or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
.... ...... . Lawn Sprinkler
Other
L---
REQUEST FOR FINAL
INSPECTION SENT TO
Indt
HOMEOWNER 8/19/03
FEE SCHEDULE
dth a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
(Office Use Only)
Estimated Cost $ Building Permit # 0.3 - OSS 7
PLUMBING PERMIT FEE $ 0Q. BE
ST ATE SURCHARGE $ .50
TOTAL PERMIT FEE $ LfO . ~
Building Official
Date
pa~ . (/()
D~
,::>./2.03
This Application Becomes Your Building Permit When Approved
~ 5./2#0:;
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714