HomeMy WebLinkAboutPlumbing Permit 03-0200
CITY OF PRIOR LAKE
INSPECTION NOTICE
OA TE TIME
SCHEDULED
? - /C(-03
ADDRESS
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(/~r) ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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o FOOTING
o FOUNDATION
o FRAMING
f INSULATION
FINAL
SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ..f14,., n _ Owner/Contr:
CALL 447.lsso FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAL TH & SAFETY!
INSNOTJ
-~----_.._+.-
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 5/03
(,
I PERMIT NO. 08 -"vrKJ I
,licant
!'please tvDe or orint and sim at bottom)
ADDRESS
LEGAL DESCRIPTION (office use only)
LO~ BLOCK ~ ADDITION
Lod4M .o6Cl:t
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ZO~.' G (officeu",)
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OWNER
(Name)
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S/V4 /~/ .t:i.-S~
jE
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(Phone) ~r..J- ~11, - 5J'~.?
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(Address)
APPLICANT / / / /'
(Name' /'7'1"'.4,7'/J-Ut?,,1L. /A..,A
(Address) .;~ I ~.t.!./ At--... f V
(Address)
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~PPLICANT SIGNATURE
Quantity
(Phone) ?rJ-/.. r---Y;J;J >
M... A-':)'A~ a-,:/)
(City) (Zip Code)
Lh-J b. (Phone) S .H~ e-
K.r ~ ~ ___ DATE ."L//'7 Au
APPLgNT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
I Floor Drain
I Lavatory (Bathroom Sink)
I Laundry Tray (1 or 2 compartment sink
I Shower Stall
I Sinks
I Bar Sink
Water Closet (Toilet)
(Contact Person)
Type of Fixture
()J
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
I Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
I 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
Estimated Cost $
Building Penn it #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
'1cJ
.50
VI) r<'
(Office Use Only)
~ This Application Becomes Yonr Building Permit When Approved
Building Official
Date
Paid :fp I/IJ 1s1J
. Dated~ j5~ 3
I Rece~~. 71/
I BYOC-/
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24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245