HomeMy WebLinkAboutPlumbing 03-1047
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~/ CITY OF PRIOR LAKE
INSPECTION NOTICE
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SCHEDULED
ADDRESS 2--;,~ l. ~e-c:.V~"f- "-
OWNER CONTR.
PHONE NO.
PERMIT NO.
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
DATE TIME
to!~3
~
3-/;0'17
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
1..(~rt)V\ }Yv"t-~ - C9k..
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
~
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
(Please type or print and sign at bottom)
ADDRESS
I. Blue File PERMIT NO
2, Gold City '03 - //li //?
3. Yellow Applicant tV"'" ~ (
~331
~~-f fJa;fA
LEGAL DESCRIPTION (office use only)
LOT3~LOCK ( ADDITION
APPLICANT P J j
(Name) __r?-E..A- ,. /\/1./
6 gD l)/I~~i4
(Address)
(Contact Person) ~r-!...- 4/::...+ (Phone)
"PLICANT SIGNA~URE .):t;-~,~lr
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APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
OWNER
(Name)
. (Address)
(Address)
Quantity
YJiPOfiV U~
,
(OA/ifftl. A"'~
2.~ --? /A~
~l..
~,
ZONING (office use)
R~
P~S- 3f''f-t'S'f-d
(Phone)
1,),2. - 27 '}-'"60,:>-1
(Phone)
7 6 '-7'1 3- I fj gJ
<"'56 II
(Zip Code)'
h./;L - ~'>: 6,- <l7fl
'6- 7-{)"1
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(City)
/JJ'1
DATE
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
)(." Lawn Sprinkler
~ Other
FEE SCHEDULE
Industrial, Commercial & Multi-family I % of job cost with a $39,50 minimum
(Office Use Only)
Estimated Cost $
Residential, New One & Two-Family $99,50
Residential, Additions & Alterations $39.50
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
3C!" s 0
Lib / aD
$
$
$
'his Application Becomes Your Building Permit When Approved
Building Official
Date
Paid LtO / -
Date~ ~ ") --03
ReceiPtEl/; 303
B2J- --
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24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
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