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HomeMy WebLinkAboutPlumbing 03-1148 ,~~/ DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE jZ::/ u:itt:2.. ? 3ef) ~e/s\ k SCHEDULED ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. ~ -t L <..f~ v 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 EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: I.IJJMJA &t1\~h~ 4 ~~ _ . ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING 4-sk Inspector: Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! lNSIion Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT ~ l- .1/0] I. Blue File PERMIT NO r I 2. Gold City .0?-1/4 3. Yellow Applicant -'>' (Please type or print and sign at bottom) ADDRESS ?"? ! 0 J/lJ/V'~(' /J /frI7 ZONING (office use) -~ V APPLICANT PLEASE COMPLETE BELOW Type of Fixture Quantity Bath Tub with or without shower Dishwasher I Floor Drain I Lavatory (Bathroom Sink) I Laundry Tray (lor 2 compartment sink I Shower Stall I Sinks I Bar Sink I Water Closet (Toilet) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION OWNER (Name) (Address) ~;;~~ANT p~ :,~~.~_.-. (Address) h ~ () /) ~ (Address) .Sk u c:- J( 1.11' r"2- --APPLICANT SIGNATURE ~ e~-, ~ ~, (Phone) (1.e 4 (City) (Phone) (Contact Person) Quantity )0 PID zs: 384--.053. 0 (Phone) Jh]'- '//3 -l~1f C'iOJ/ (Zip Code) DATE <:,;-,-(-03 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 1% of job cost with a $39.50 minimuIII Residential, New One & Two-Family Residential, Addi~ns & Alt~ns Estimated Cost $ Building Permit # {)J / Iff PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ (Office Use Only) l This APPIiCa;j. 'mo ef/s Your Building Permit When Approved /JIf'-(' '0. uti ,OJ Building Official Date $99.50 $39.50 3~.JV .50 4-() . VV Paid 10, t/O Dat~, ~(. dJ Receipt ~z..rt. BY~ / \) o ,J "'p 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714 E'J ... T