HomeMy WebLinkAboutPlumbing 03-1419
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
I ~ II (, ~Jay~ At._
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
COMMENTS:
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DATE TIME
II-'I-r;.:?
:?-/4/tf
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: M
. ,
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
/0. ZL.,o3
I. Blue File PERMIT NO
2. Gold City .1"'l?_/4-/Cl
3. Yellow Applicant (..L:) 7
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
J' P J I U ~O(dtu1 Av-e.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER I I.. J... ./\ ~ ^ J/'J' /_lJ/}
(Name) \ ~/nc..:7() f I
(Address) -(<t1n1t IL~ aJ:2DYt:)
APPLICANT CULLl9AN WATER CONDITIONING
(Name) ROSO CULLIGAN WAY
MINN~TONKA, MN 55345
(Aa~?e~J) 933-7l!OO
(Contact Person) ~ \..s.,
)PLICANT SIGNATURE ~ lI:JtYl P..-; IC).
(Address)
PID zS: 004-. OZ-O. 0
(Phone)~)J~l-8?71J
(Phone)
(City) (Zip Code)
(Phone) $~- W -77;70
DATE III I LtJ /03
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
I Dishwasher Water Heater
I Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
Estimated Cost $ ~ ~
'--'"
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
. (Office Use Only)
'his Application Becomes Your Building Permit When Approved
Building Official
Date
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Building Penn it #
$ \.. :;::~,.(4. 50
$ - ~ .50
$ 40 ./00
pai~t. () 0
D}~.ZZ.03
Receipt ~qc.r / z...
By f#
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714