HomeMy WebLinkAboutPlg Permit 04-0651
Date Rec'd
CITY OF PRIOR LAKE PLlTMRTNG PEAA.UI
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ADDRESS
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REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER~1-05
File
. ~::licont PERMIT NOt? t/-6S7
. ZONING (ollice use)
LEGAL DESCRtr uON (office use only)
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( l\PPLICANT SIGNA~4J1 ..::LX )J--i:Jf::Lf DATE u!d / ) /J2I
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APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity I Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain I Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backtlow Assembly Test
Bar Sink REQUEST FOR F Lawn Sprinkler
Water Close INAL Other
INSPECTION SENT TO
HOMEOWNER 01-06
Industrial, Commercial & Multi Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Pennit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
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. I, .50
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(Oftl<< Use Only)
r This Application Becomes Your Building Permit When Approved
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Building Oftldal
Date
Paid I/~ ~ _
Date ? "';5~
ReceiPt7~17
BY? .
Z4 bour DOtiee for 8l1lnspeetioDI (951) 447.'850, fo ('51) 447-4145
16100 Eagle Creek Ave., S.E., Prior Lake, MN 55371-1714
./
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
~.17. 0(,
ADDRESS
4375 CJ-fesTNuT ~IV
OWNER
CONTR.
PHONE NO.
PERMIT NO.
04- ()(,S/
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 RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
ESTS-FOR-
~CTJONLETI'ERS OUrl"
SF.
CLes-E--rILE-B-BE Te
INACllVITY
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECT/ON BEFORE COVERING
Inspector:
. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH ~ SAFETY!
UfSNOTl