HomeMy WebLinkAboutPlumbing 03-0900
JrY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS J:>"l ~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED 8-5'o~ AI
GIOU~ 01....
CONTR.
PERMIT NO. 3 - ?oo
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 GASLINE AIR TST
ji( L........ S~~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREl'\ WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: 'V \ Owner/Contr:
CAL J~ ,laso FOR THE NEXT INSPECTION 24 HOURS IN ADVANCs
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY/
HWW"
. .....--.,--.-.... -, _._..,._----._.,--_.__.~".__..-
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
(Please t\"2e or orint and sil1Jl at bottom)
ADDRESS
3oC;ff ef,L?oUS,[ C/~
i ~,~ ~:;, I PERMIT NO. /') '? _n ..wi
3, Yellow Applicant ( ./:J 7 u "1'
ZONING (office 11.\,)
LEGAL DESCRlPTION (office use only)
LOT -3 BLOCK :J ADDITION /iJ ~ $6.
OWNER
(Name) ///1,e"e
(Address) 3oC;,p
..e.6' t/
tf,,(?oc..JS,e;
C/.e'. .
?;t!/o,e
APPLICANT '.
(Namp\ ZAA::.6 ,-v?J.1 /CLl6 J!f ~
(Address) /,;lV/,9 Z/.<J..t'..-9,IJ At/L
(Address)
(Contact Person) C,</-RL <
APPLICANT SIGNATURE ~ ~
I Quantity
I
I
I
I
I
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I
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PID9.5"- 3cf;;(' tJ9.Q
(Phone)
95..2 -~~k -,;J.3 f' "1
~4.4:.
(Phone) 95:)-J>9c/'-760=
5:53)S'
( Zip Code)
(Phone) 9s;l - &'~- 76'0 D
DATE ;7~~ 5
< {'.I7V~6',J:
(City)
APPLICANT PLEASE COMPLETE BELOW
Estimated Cost $
Quantity . 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
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
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
LaundrY Tray (1 or 2 coml)artment sink
Shower Stal!' . .
Sinks
Bar Sink
Water Closet (Toilet)
Building Pennit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
/- 5'0
?"7~
.50
yo~-
(Office Use Only)
This Application Becomes Your Buildiug Permit When Approved
Building Official
Date
24 bour notice for all inspections (952) 447-9850, fax (952) 447-4245
Paid
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~eceipt 2;t <'l !sd
BY~.
Date