HomeMy WebLinkAboutPlumbing Permit #03-0866
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Date Rec'd
CITY OF PRIOR LAI(E PLUMBING PERMIT
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 1/04
1. Blue File .PERMIl NO. t)3 _~' / -/
2. Gold City (s:I ~
3. Y cHow Applicant
(Please type or print and sign at bottoD
ADDRESS
Ifo700 Creeksid~ CfYck S. [;.
ZONING (office use)
LEGAL DESCRIPTION (office use ooly) ycJ
LOT3 BLOCK ADDITION ~-~ l./i-/.l....ieAJJ a PID;.25"- /Dl/- a()3-1)
~~~R Hauc,l( 1 '-Dmne// (Phone) (q52)tf47-~3
,
(Address) /(0700 Cr~e/(sicle Crre/e $.6.
(Contact Person) (Phone)
PPLICANTSIGNATURE ~~ DATE
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
APPLICANT \ { \ _.. _..... ~ 1__
(Name) \J0l O~ \ ,t\J.Nl'\J..l\ v'\Q
(Address) :z::JO~ bJ~keJd f1ve..~D.
(Address)
Quantity
110.. (,';_1. .
REQUEST FOR FI~AL
Indu~ INSPECTION S~NT ~O
HOMEOWNER 8/19/03
(Phone) 1(p \ 1-) 827 - 4033
Mp\$ 55~~K
(CIty) (Zip Code)
~/Zl /(JJ
Type of Fixture
I
Rough- ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCtlEDULE
ith a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PEAAJJJ FEE $
/,,-lOffice Use Only)
fhis Application Becomes Your Building Permit When Approved
Building Official
Date
35.~()
.50
If 0.00
Paid L/6.--'"
Dat~'1_/v~
ReceUlJ}3f=o
BYp
24 bour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
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SCHEDULED
fc 70d C,"tdc..ric,
CONTR.
PERMIT N().
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
Ir J-() ~et .J-v
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DATE TIME
2",~-oc/
/
3-~~
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
;/f WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ";'~RK._~R REINSPECTION BEFORE COVERING
Inspector: f/ vr Owner/Contr:
/" II A(
/ l ():::> C
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CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ