HomeMy WebLinkAboutPlg Permit 03-0006
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 5/03
(Please type or print and sign at bottom)
ADDRESS
jL/c;L/D .{J8lJ
flieb
LEGAL DESCRIPTION (office use only)
LOT/6 BLOCK d..... ADDITION "11~
. Blue File
. Gold City
Y eUow Applicant
PERMIT N003-0oob
ZONING (office use)
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(Phone)9sd-'1~-:;:J~~
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(Address),~7"1 M.,; 'p,flf). cJte-/(JZ/ ~9tJ/) LtJ/ 67.JlJ}IA
- (Acfdress) " (City) (Zip Code)
(ContactPerson)\ It m (Phone) ~}/)- ?5RU -J{.J/.t;7
(' ~?LICANTSIG;A~URE [Lm_,\)(1hti::t2L DATE Irl\ tC1Jr)~
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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 (1 or 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
&~~R .HN 4/!~
(Address) JL/dt//) 4Sh (J~
E
Quantity
Type of Fixture
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
J:lJ!,J!,Sl.,;~DULE
a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Industri REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 8/19/03
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
{"" \"his Application Becomes Your Building Permit When Approved
Building Official
Date
/-;l, q , 6V
.50
l/LJ.OO
Paid !J L/O I ----
Date/_J_03
Rece~ r;a:3
BY~
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
SCHEDULED
DA TE TIME
2. -'7.0 f&
ADDRESS
142,..+6 ASH ClIC-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RJ
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
3 000 ('0
o EXIGRAO/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
SENTT ..STSEOlL
IN~Y.ltL.l10N- LEI I'ERS O-o-r-
--RECEIVED.-NQRF/~Po.NsE
~ILE--IWE-+Q
TN ACTIVITY
o WORK SATISFACTORY, PROCEED
o 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!
INSNOTI