HomeMy WebLinkAboutPlg Permit 03-1571
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CITY OF PRIOR LAKE PLUMBING PERl\tlll
Date Rec'd
/Z. 3. o..:J
REQUEST FOR FINAL
INSPECTION SENT TO
(pleasetypeorprintandsianatL.,..~) HOMEOWNER 01-05
ADDRESSIj/ f/D fJJlof/1ttJ ~ s e
,File PERMIT NO
I City . /loa ./571
ow Applicant ~
ZONING (office use)
LEGAL DEf~ON (office use only)
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(Address) LllCft e.oltm~Jo ~ se Jhv
PID$ .:J>oofo -Od1- 0
(Phone) qS~ -~{) h- d;).dJtL
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(phone) (fS/- 3~S -/3l{()
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APPLICANT 1 L () V . ^ _ ,.,/) //c
(Name) TL...[I ~\JJD~
(Address) 3laJ{) [)aIYf) RD
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(Contact Person) ------bLP .~
r~PLICANTSIGNATURE ~O
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain I Water Softner
Lavatory (Bathr4 Stand Pipe (Washing Machine)
Laundry Tray (1 REQUEST FOR FINAL Sewage Ejector
Shower Stall INSPECTION SENT TO Backflow Assembly
Sinks. HOMEOWNER 01-06 Backflow Assembly Test
Bar Smk Lawn Sprinkler
Water Closet (Toilet) Other
FEE S\.,;~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
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
Building Permit # -.tJ3. / S 7 /
r;~' ,'5)
hiO . orJO
Estimated Cost $
(Office Use Only)
'..) r '.....his Application Becomes Your Building Permit When Approved
Building Ofticlal
Date
paid+O. () 0
Date A /'\-::1
/'Z. ~. u..;;J
ReceiP4, 0 (, /
BY~
24 hour notice for all inspections (952) 447-9850, fn (952) 4474245
16100 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
2.17.0'
ADDRESS
41 q 0 6OL-Ote.ADO
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
3 .1571
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
SENT TSTS FOR-
INSPEL'110Nl:EI lEKS Orrr-
-RECEIv
llNSE
INACTIVITY
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 A.RE FOR YOUR PERSONAL HEALTH & SAFETY!
ViSNOTI