HomeMy WebLinkAboutPlumbing 03-0240
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
-
PHONE NO.
o FOOTING
o FOUNDA T'ON
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
-
-
-
SCHEDULED
OA TE TIME
!:-2 J.
S~)..3 lrer ~
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CONTR. ..-.........
PERMIT NO~ "? - ~ ~ t -
o PL:MBlNG RJ ( - " GRAOIFILUNG.
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASL'NE AIR TST
o MECH FINAL 0
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-
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-
-
6' WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECT/ON BEFORE COVERING
'_DC _fJf!?' -H...rr;,Owne'/Con,c_
CAY. 447".@FOR llfE ~XT INSPECTIO~.. HOURS IItADj!ANCE,
CODe REQUlREA1ENrsARE FOR YOUR PERsoNAL REALm d SAFETY!
--
INSNon
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~-),'J
COMMENTS:
'7S'-3 Vt.t '
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CONTR. ~,
PERMIT NO. /( <- ').4tJ'J~
o PLUMBING RI ( - ~DIFILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLINE AIR TST
o MECH FINAL 0
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I
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
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6' WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: (V{:J' - U -C0 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
INSNOTl
CITY OF PRIOR LAKE PI JTMBING PERMIT
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 5/03
Date Rec'd
~-.r -OJ
I. Blue File
2. Gold City
3. Yellow Applicant
PERMIT NO. OJ.. 0 Z '10 \
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(Please type or vrint and si~ at bottom.
ADDRESS
3:S 2. ~ \/ttle
L(r-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID z,r- -III ,.() I 4' r 0
ZONING (office use)
-
~:R Jb -( 'i~ '/- e V\ V\ q Y1
(Phone) 7-? ~.--i./ g 3 :S
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. (Address)
(Phone)
APPLICANT
(Name)
(Address)
(Address)
(City)
(Contact Person) ~ (Phone)
/-- 'PLICANTSIGNATURE ~ .; ~ DATE
AP,(IcAN; 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
Bar Sink
Water Closet (Toilet)
(Zip Code)
.$'" '-{-o">
Quantity
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector .
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
~
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FEE SCHEDULE
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 $
Building Permit # 0]..- () z.. +tJ
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
39.50
, .50
;/-"0 . 0 ()
--<L)ffice Use Only)
:hl, APpli'~'lon!, ",om.. Yon, Bolldln. p.,m;' When App<oved
f J?' JI:~' 3 -- ~ -O}
Building Official . Date .
paid4-0, ({1)
Date.3 .S .. 0 '3
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
Receipt No. 1
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