HomeMy WebLinkAboutPlumbing Permit #03-0783
CITY'\Jr rRJOR LAKE
INSPECTION NOTICE
DATE TIME
vUCIt)3 t1\~Q
~~
SCHEDULED
ADDRESS
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/- \
3 -?~'2/~ ?cS3
o EXIG~ILLlN
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
---
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
~ PLUMBING FINAL
~ MECH FINAL
Fuv~ +-W~~ev.J.AL
O{D1A~_ ~-LJF' jA-L"V- M ()~
COMMENTS:
J--
o ~RK SATISFACTORY, PROCEED
\l2("'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.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &. SAFETY!
INSNOTJ
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09/26/02 TBU 15:52 FAX 6124474245
CI1Y OF PRIOR LAKE
IaJ 004
Date Rec'd
l:11 i OF PRIOR LAKE PLUMBING PERMIl
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 8/03
Slu. Pil.
J9Id City
rollow Applicut
- PERl\tu! NO.()3~18::
(Plase ~ or pritlt I4d lip al: bottom)
ADDRESS
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~
ZONING (otfielr we)
to U-. D
LEGALDESClUr~.ON(oIIico"'oaly) 0 I P'/~-A~~ [!~
LOT 14 BLOCK3 ADDITION c/)1;JKj U7/fVCP
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OWNER
(Name) .
(Address)
DfW(D
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C/r' A1v\ ~tl"c;
s-torce: ~
(Phone) qr;z,.. LM ~ - '477
~ l"wCANT
(Name)
(ContaCt I\......lia)
~ M.eCktIaJ' ~
III t;-rU ~-r~'1
(Addless)
ILeVl N
7w'
(phone) C:I;;] -"~,, - 71,:7,?'"
N~ ~u-r~ L;,t, It?
(City) (Zip Code)
(Address)
Quantity
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APPLICANT PLEASE COMPLE'l~ BELOW
Type of Fixture Quantity
. Bath Tub with or without shower
DishwaSher
Floor Drain
La-vatory (Bathroom Sink)
Laundry Tray (] or 2 compartment sink
. Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
(Phone) ,
\PPLlCANT SIGNATURE
DATE
0J.LJfZ:?
Type of Fixture
Rough-ins
Water Heater -
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backtlow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
jlf.,I1iSl.JDDULE
Industrial. Commercial &. Multi-family 1% Of job cost with a 539,'0 minimum R"sidential, New One &. Two.Family $99.50
Residential, AdditiOl15 &. Alterations S39.S0
Estimated Cost $
Building Permit N
PLUMBING PERMIT FEE $
STATE SURCHARGE S
TOTAL PEDu.l FEE S
~" .~
.50
'to ,0<2-
(Oftice UIe Only)
_I This Application Becomes Your Building Permit When Approved
Building Omcia'
Dlte
P!id'JJ VO _ ---- ReceiVtr 16 tfi)
-Oate 6~Jh-3 -a~
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24 bour notice for alll...pectiool (951) 447-9850, fal (951) 447-4245
16100 lap enek Ave., S.E., Prior Lake, MN 55372.1714
1(,7S Lfo .00