HomeMy WebLinkAboutSewer & Water Permit #08-0630 CITY OF PRIOR LAKE D TE TIME
iNSPECTION NOTICE SCHEDULED
ADDRESS ��� �
OWNER CONTR.
PHONE NO. PERMIT NO. Q��` �� 3�
f� FOOTING ❑ PLUMBING RI ❑ EXlGRADlFILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
O FRAMING ❑ WATER HOOKUP tJ FIREPLACE RI
� INSULATION O SEWER HOOKUP ❑ FIREPLACE FINAL
O FINAL O PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION O MECH FINAL ❑
COMMENTS:
WORK SATISFACTORY, PROCEED
❑ CORRECT AC?ION AND PROCEED
❑ CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
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Inspector. � �� OwnedContr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.�
WSNOTI
O � rRlo� Date Rec'd
F 9 CITY OF PRIOR LAKE Q
`" � SEWER AND WATER PERMIT U• ��� D �
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�. ��„ File pERMIT NO.
2. Yellow City
3. Gold Applican[ �
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ZU1�TII�TG (office use)
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LEGAL DESCItIPTION (ofl['ice use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
(Address) (City) (Zip Code)
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APPLICANT PLEASE COMPLETE BELOW
�� ` Sixze of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. ❑ ABC ❑ PVC ❑ Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
FEESCHEDULE
Residential sewer and water line connection $51.50 Industrial, Com'1 & Multi-family 1% of job cost with a$51.50 minimum
Sewer connection only $25.50 Water connection only $25.50
Estimated Cost $ Building Permit #
SEWER AND WATER PERMIT FEE $ v2 J� cSU
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ �2 Ce . D
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid�� ,� ce' t N�� s ��
Date� � � G ..dZ
Buildiu¢ Official Date
24 hour notice for all inspections (952) 447-9850, fag (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372