HomeMy WebLinkAboutPlg Permit 03-0513
/
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
CULL.IGAN WATER CONDITIONING
'103Q CULL.IGAN WI!",' (phone)
MINNETONKA, MN 55345
(Address) ,tez) 933~ , ~oO (City)
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower .
Dishwasher
I Floor Drain
I Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
I Shower Stall
I Sinks
I Bar SinJ...
REQUEST FOR FINAL
INSPECTION SENT TO
(Please~orprintandsimatbottom) HOMEOWNER 6/03
ADDRESS
2405 ~-tDnuYes+ ~
LEGAL DESCRJ.r lION (office use only)
LOT>( BLOCK I ADDmoNl1:ZL.odM"u ()~
, - -
g;~::R l)::bm .~ &(V~ k..t~/ntDyJ
(Address) ( ~n;t.'(- I:tS, (LbDIe )
APPLICANT
(Name)
(Address)
(Contact Person)
~ PPLICANT SIGNATURE
Quantity
REQUEST FOR FINAL
ECTION SENT TO
Indus INSP R 8/19/03
- HOMEOWNE
Estimated Cost $ /JDO ./
FEE SCHEDULE
ith a $39.50 minimum
I. Blue File PERMIT NO
2. Gold City '/)1-;); , c-/3
J. Yellow Applicant :J , ~
, -
l3/Z. )
"Z~G (office use)
.' I-(d-
PID ~5 -, 1 {L-/... !){f6 /~
(phone) ctsz - 2:2J3-88510
(Zip Code)
(phone)
DATE
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
I Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
lather
Residential. New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office t:se Only)
r ~
'"his Application Becomes Your Building Permit When Appro\'ed
Building Official
Date
3~.5D
.50
An_co
pai~ Lit> ,--
Date Lj-:J-3- 3
ReCe!/t/o g- 9
BY~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek A\'e., S,E" Prior Lake, :\IN 55372-1714
CITY OF PRIOR LAKE
INSPECTION NOTICE
DA TE TIME
SCHEDULED
2 .r7. CJ"
ADDRESS
24'05' .$' ON6'?1U:::;:f,/
OWNER
CONTR.
PHONE NO.
PERMIT NO.
3. 5'/J
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 EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE Rf
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
_TNBPF,CTTONLEITERS OUrl"
RESOO-NSE.
et6S-E-FILE DUE W
!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!
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