HomeMy WebLinkAboutPlg Permit 03-1545
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMI.
REQUEST FOR INSPECTION
SENT TO HOMEOWNER.
FEB. 2004
~ ~ or DriDt aud sip at botlom) "
"ADDRESS
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Blue File
Gold City
Yellow AppIiCInl
PERMIT NO. I
O~-.~
ZONING (Oftlc:eIlSe)
-E1~
Ct'rck frlfTr~..t ,q~/ t-sJ')..
/ /
(Contact Person) - (phone)
,.,.--APPLICANTSIGNATURE ~~~
( /' V - \
\ APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity
) Bath Tub ~ without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tra- ,.
S~ower Stall UEST FOR FINAL
Smks REQ
Bar Sink INSPECTION SENT TO
Water Closet HOMEOWNER 01-05
LEGAL DESCRu- lION (office use only)
LOT
ADDITION ~ .~ '2.1
V- ~,,, z.ss-?(r
>~~.e AS" ~V~
BLOCK
-
OWNER ,J /
(Name) , ijl.",1lr T
(Address)
/
APPLICANT J / _ [? / (
(Name) //4-~/ ~5S~~' I
(Address)
(Address)
PID Zf::; - ~D' 3 "G>
(phone) .9--.SJ - VY?- ? R? 7
(Phone) 770 -#~? - }P?.,
(City)
(Zip Code)
DATE
//~~s
,
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backtlow Assembly Test
Lawn Sprinkler
Other
l' J!,J!., ~DJ!.DULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $ J t ;-0
Building Permit #
Jtro
.50
W.do
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
"
~ (omee Use O~IY) I t t
rTh~i~<>>aI~I.,~ r"'O~"APProved :~~. -
.,~ , -~dal "'- Date . II IJ
____ , I
14 hour notice for alllnspeetions (951) 447-9850, fax (951) 447-4145
16100 Eagle Creek Ave., S.E., Prior Lake, MN 55371-1714
:-:~~
CITY OF PRIOR LAKE
INSPECTION NOTICE
OA TE TIME
SCHEDULED
z. '7.()~
ADDRESS
5Z4 ( F~oST PT.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
3 .154-5'""
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 EX/GRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
_TNSPFICTJONLETI'ERS OUrl'
D NO ~NSE.
ews:E FILE~
IN ...\CIl\ZITY
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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