HomeMy WebLinkAboutPlg Permit 03-0581
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 6/03
File
City
lW Applicant
/'
PERMIT NO'03- ~ I
~S15-) c
(Please type or print and sign at L . .,.....)
, ADDRESS
15i77 St~~ Ctrd~ S~east
APPLICANT ~ \ \ \ 1':>\ b
(Name) .,->Ofp\ClW\, LlNV\ '^Q (phone)
(Address) Zq~~ 6~~JcI Bv(l. So. M.t\ls
(Address) . (tity)
(Contact Person) k\/ (Phone)
~PLlCANTSIGNATU~ ~~..-z-- DATE
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
LEGAL DESCRu- lION (office use only)
LOT S BLOCK L/ ADDITION
,
OWNER I \, \ d . ('J
(Name) ----VJ I ./i.J~'t'\u.{..K
(Address) 1f>t.[]J S~~ Clr. S.~.
Quantity
(
I
R"..~;nli-
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 8/19/03
PID~5-oq/~ {)JtJ-O
(phone) (1S"Z~ L/!D- 2Sb 7
(i4lZ) 82,- 4033
S5'1tJ!
(Zip Code)
5/3/03
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
I cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $ &otJ.(Il)
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Ot1iee Use Only)
. r-rhiS Application Becomes Your Building Permit When Approved
v.
\ "f Building Omelal Date
&j.St>
.50
'" 0 . tJ6
. Paid liJ ~ 00
Date 5-16-0~
. Receipt No. ".fl
LlL/5"7 i
By. q-u
14 hour notice for III inspections (951) 447-9850, fo (951) 447-4145
16100 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
/
CITY OF PRIOR LAKE
INSPECTION NOTICE
OA TE TIME
SCHEDULED
z. . 17, 6 to
ADDRESS
/~+77 SIt-MAl (!A~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
3,58/
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADlFlLlING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
INSPECTJONLEITERS OUrl"
-REGElVE
CLesit-FILE DBE Te
INArUVITY
o WORK Sf T1SFAC"' DRY. Fr":-~:r:;
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!
INSItOTJ