HomeMy WebLinkAboutPlumbing 03-0992
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
10 J,lf-f/3
ADDRESS
I )UI Vf/1!)A,-If,.J!=" .. (' r
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
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IJ FOOTING
IJ FOUNDATION
IJ FRAMING
o INSULATION
o FINAL
IJ 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 GAS LINE AIR TST
o
COMMENTS:
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'WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~R~pL FOR REINSPECTION BEFORE COVERING
Inspector: Y ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
lNSNOTJ
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
D&D Meehanieal
9025 W Hwy 101
(Address) Suire Is
~Ccntact Person) i)~ ~:;:~=:5378
, APPLICANT SIG~ATURE j~ q..~ .
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APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
I Floor Drain
I Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
I Sinks
Bar Sink
Water Closet (Toilet)
,sc type or print and sign at bottom)
,,;)DRESS
~
17J.o/
i LEGAL DESCRlPTION (office use only)
LOT
BLOCK
ADDITION
OWNER V ~
(Name) ') ~ ,_vi '!1 ~
(Address) , 7 d () / ~...-....t j "I'...__~ ~
I APPLICANT
I
(Name)
(Address)
0uantity
FEE SCHEDULE
Industrial, Commercial & Multi-family 1 % of job cost with a $39.50 minimum
7zeJ.u
I. Blue File PERMIT NO /u}
2. Gold City . /).7 - 07 7 Z~
3. Vellow Applicant L.
ZONING (office use)
PID z,5:' TliJ. O() 7. D
(Phone) ~.;J, , ;;;.;( (,. -.30 d!J-
(Phone)
(City)
(Zip Code)
(Phone)
DATE
7 }.,I8' / tJ3
Type of Fixture
I
Rough-ins
Water Heater
Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
I Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler ~ ~
I Other . t I
I
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
{J '3- {)9q Z~
Building Permit #
Estimated Cost $
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
i This Application Becomes Your Building Permit When Approved
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BUiJI~j Official Date
.3 If. 50
.50
i/O.OI')
Paid Lf-o vV
Date 7- ?f; ,0,;'"
Receipt NOq'-5ZJ91
ByA,
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24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
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