HomeMy WebLinkAboutPlg Permit 03-0511
CITY OF PRIOR LAKE PLUMBING PERMIT
~QUEST FOR FINAL"
~$PEG~I9N,SENTTO
. . .. HOMEOWNER6/0J'i,.,
(Please type or pnnt and Sl2J1 at t _..__
ADDRESS
'~~15 QJljYlW~+U--rl~
J
Date Rec'd
~. ~': ~:~ I PERMIT NO. 03....5. /1
l. Yellow Applianl
(3, f)
Z0NING (office use)
1/ ;(;:)5D
LEGAL DESCRtr uON (office use only)
LOT & BLOCK 3 ADDITION rJ;.HJ1 JA~ a;vd. PIDd5 - 3ts - Od-~- :5
(J j)
OWNER \ A ~ fl /;k:'
(Name) \.... 'i.toV\ M \.....orM.'tuK:- (Phone)-02-~534 2-
(Address) (..~L~ tLbOY<:"')
APPLICANT CULLIGAN WA I CM CONDITIONING
(Name) 6030 CULLIGAN WAY _ (phone)
MINNETONKA, MN ~~\14:>
(Address) (952) 933-7200
(Address) (City) (Zip Code)
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (l or 2 compartment sink
Shower Stall
Sinks
(Contact Person)
i.u. /~M/
/- PPLICANT SIGNATURE
Quantity
(phone)
DATE
4-/~6
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
REQUEST FOR FINAL
INSPECTION SENT TO FEE SCHEDULE
Industrl HOMEOWNER 8/19/03 a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
~,...
Estimated Cost $ C,/fA/ Building Pennit #
PLUMBING P .2RMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
~his Application Becomes Your Building Permit When Approved
Building Official
Date
:5(, SO
,50
4-0. CO
Paid 1/ ---
,./O~
Date Lf~~"3 -3
Receipt N4LfO f'{
By ~
()
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, l\fN 55372-1714
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
2. .t7.()(P
ADDRESS
3315 G W tJ W f\l1::,CL
OWNER
CONTR.
PHONE NO.
PERMIT NO,
:5 -S'/I
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
o PLUMBING FINAL
o MECH FINAL
o EXJGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
-sENT TWG-REQYESTS--FQR-
JNSPF1C ~ERS UlJl'
-REGEIVED-NO RESroNSE
€b6S-E-FILlL DBE Te
!NACTIVITY
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!
INSNOTl
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