HomeMy WebLinkAboutPlg Permit 03-1162
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REQUEST FOR INSPFCTTON
SENT TO HOMEf
FEB,2004
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
9z...63
Blue File PERMIT NO
Gold City . Q)? _II ,- z."
Yellow Applicant t..>"
(Please type or print and siM at bottom)
ADDRESS '6'" 30 ,OJ::-
U" D m{tCheit el. Q0.
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(Address) ISU3f6 ml+th e Ll
~;;~~ANT No r bl C5YYl P lUfYtbi Y1 a (Phone) (l/J !2,) c:g-~7- 4033
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(Address) -.2i105 8amtltl M SO. ! t!1p15.
(Address) (City)
(Contact Person) ..0ef"f- (Phone) oCL(Yl~
..-.\PPLICANT SIGNATURE ~ f!7 ./"\. - DATE ~/Qi) I 0'0
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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
Bar Sink REQUEST FOR FINAL
Water Closet (' INSPECTION SENT TO
HOMEOWNER 01-05
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
I LEGAL DESCR1r nON (office use only)
LOT /l BLOCK A ADDITION
Ct.
Quantity
I ZONING (office use)
p~
PID 20. 155. 001. 0
(Phone) {tI'jJ,-)'-lLfo- 55&2
De.
5S'-IOg
(Zip Code)
Type of Fixture
Rough-ins
, Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39,50
00
Estimated Cost $ I.ffJ 0 · - Building Permit # JJ..3 - / / (p 'Z..
PLUMBING PERMIT FEE $ :?11. 50
STATE SURCHARGE $ ,50
TOTAL PERMIT FEE $ LHJ. t!J'
(Office Use Only)
r This Application Becomes Your Building Permit When Approved
(
Building Official
Date
. -
Paid ",(). 0 0
Da~ 3. fE
Receipt ~S 2-60
By f'L
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
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
~UMBING FINAL
o MECH FINAL
DATE TIME
t1?-//6' 2-
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:..... / /
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( ~~ 6'6 /,C/""-
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~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR SPECTION BEFORE COVERING
Inspector:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!