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Plumbing 03-1285
CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS -.15]( '(:;:2.. OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION COMMENTS: DATE TillE S.. CHEDU~Eh /0 -,s.o} - -e.\U !-<;~j CONTR. PERMIT NO. ,~- t2B5 o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL )'~::AI~~ ~K SATISF. CTORY, PROCEED o CORRECT Ct ND PROCEED o CORREC W ,ALL FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: CAL 44 -9 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. ~IREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI ~'R/~ /?7r\\~\ J~~j ~y Date Rec'd CITY OF PRIOR LAKE PLV~fBL'iG PERMIT q. 23. 03 I J!ltlue- F'iJe. PED"UT NO ~ ~~:~ ~~;Ii"", ~, . Q3 - / Z PJ5 I. Pk:J.~~ t'f'!!e or prine and ,iilIl;U bottlJm 1 i ADDRESS J -S-I ? 2. ::f"e Free:> ZONL'J"G (ofF~c U~) VA '" ! LEGAL DESCRIPTION (cffice use ,!r.!}') i LOT BLOCK ADDnr00i PIDl5'. :3 9 ).os-q, 0 ! OWNER 1) MJ'Id W\ A V Pee--. ~~ (Phi:!.':) 9'5t... - 2-5'"0 ,. q~/ D i , I "r....~....\ i \.''-lo.lh.....)_ , I j' (~rdr~\:.;) A 'n~_~_~'^~ : (A~jrcss) p. D.: l:>~~J J 7-. ~ ..\dJrc~~.; ~ ~CGnt.1C( P::r:;l'[l') ~ .f'(V!5- _.t-.-V_Ci (,.e') .- L ___ __ I.Ph"'~C:l _ ___5_~- Jr)[ {"" ..... ",-"..-r'p': ~)h^~___ II -f1,tJ./J4f-:d- 1"\,\-"- 0 -/ r -~3 . . r._ 1_-"",,., )l'.1,'<..l ~ "-L _~~-::: _ ~ _ -..v ->n ~. l t:. I- tJ __._ ,-.----.-.-..- ---- ---- -----, -- - - -- - . .\ DDf r(~ l\:'\IT . ........ ~.._........... , ,. i (,'i arr.e) OL.VM~~V\'1' ____ (Ph8ne) _ Lj.t.f~ - J~7t/ _ <::::J/\,fh\'~'" ~~~~ I flAAJ _ "":;}~.3 (7: (ZIp Code) (Cit,:) ()u::mtity APfLICA:'iT PLEASE CO'JPLETE BELO\V T...r,~ ()f H'\ture --J, ---'<-)u~\n\l~ . l~ , '- .. I Bath Tub wirh 0r without "bower Di$!1w:lsh-:r T)'ll~ of Fixture ; H.',)r [lr~in Lwatc,ry (Bathroom Sink) , Rough-ins : \V~cer Heater i \\:':1t(;( Softner i Stand Pipe (Washing ~jachine) : Se\"'1ge Ejt!c:!Or ---'Sacktlow Asscmblv - ----- , ..-- ; r ......lr"l/l....., T..."'\\; J t ."",." ,...r\n~.,.,:1rtTn~nt ,;n' j ............t.,..,_.,: "...... '.' ". ... ...........t'....... .....-... .......".' I ~ -- ---- ---; Shov-.;r St:iil ------ - ____.._v ;.---- -.---------- , I ~. . ! .:li\1~.5 i Bar Sink '",' :1ter Cioset (Toddi ~ B3:.kt1c",.~- .\s$e~bty T ~st L_. j Lawn Sprinkler : Other n.:.t SCHEDcLE InduSlrlJI. Commcrci::1l & :Vlulli-famd:f I';, 0f job c;)$[ '.',ith J. 539.50 minimum R~sidentiJ.L ]\;:;w Om: & T.....o-Family S~.).50 R~std::r,t:::.L ;.\dditicn~ &. .~\Z~:r:ltic~~; S39..s0 .' . f'-' ' S~O' F,stlr:n.t:l L.1St S ---- Building Per.nit:;; ()3 -:-J Z~? PLl:~1BrNG PERMiT Ft::E $ ST A IE SURCHA.RGE S TOTAL PER'fIT FEE S .50 -4 t'\ oi) f m(t USt Only\ I'hlllrlmll, ()(ficioll (hIe · P:liJ : 4o.CN . D::t~ :3 0 1- Vf.Z. . ..) : Rcceip~ 0i~S(P ~tJ B:. I' ~ 5---~' / l' \LJ \ Thi~ ,Appliqtinn no>~omes Your Ruildinl~ Permit \\;ht'n Approved ~: ~:"ui ;:;}:i~;: f\H"::U i~up..:~:h;:::; {~5Z~ .!..r7~93;a, !~~ \95:!) !'1-:-'-..!~ 1S 162110 FJlo:le l~~t"k .\~.... S.L Prior bl..t:. 'I~ ;:;:r7~-1-1~ =