HomeMy WebLinkAboutUtility Permit #00-0250
SCHEDULED
4
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
-4 : 1';-
PHONE NO.
PERMIT NO.
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DO - 250 ~1J.f
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
ADDRESS
/5731. Lz}f:s"
OWNER
CONTR.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
A. 0 PLUMBING RI
o MECH RI
~ATERHOOKUP
EWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: n f\
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o CORRECT T:
o CORRECT W
Inspector: Owner/Contr:
CALL 447~850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQ~ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
CEED
INSNOTI
Iff PR~
5/\E
GREEN - FILE
YELLOW - APPLICANT
GOLD. CIH
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
S.w. No. c50 ~ '::2S[)
NOTE:
Sewer and Water
contractors must
be registered
with the city.
APPLICANT: ~io Roofc r
:~::::::E: 1'1 ~ __:::- fY
SITE ADDRESS: 1573} w+- I}i~ S, E.
JJ,
PHONE: ~/J. 5"fl~ 37ft
~~DATE: '1-11'00
BLDG. PERMIT # ()() ~OD[)
PID# ;). Ei- tIIl-OfyJ-O
FILL IN THE BLANKS
1. Estimated length of water service
feet.
2. Size of water service
inch(es) .
3. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS
pvc
Cast Iron
5. Estimated length of sewer line
feet.
6. Clean out (if required), located at
structure.
feet
from
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This appl~cation ~omes you~ ~ermit when appr~~d./
BY . --7;'j~~/ DATE: '-f//CC/OZ)
I /r----- I. I
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FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $IV.~ plus
$ .50 surcharge.
* Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
DATEi::~:d. Lj /1 q / O? J AMOUNT PAID $; {( I OV
RECEIPT # '2)-'71 'i57 REC'D BY u-)
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-424~
An Equal Opportunity Employer
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