HomeMy WebLinkAboutPlumbing Permit 03-0820
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
g.-Is
ADDRESS ~
OWNER
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HV~""'f""'\. ~"....
CONTR,
PHONE NO,
PERMIT NO,
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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 EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~~.... n rd} OwnerlContr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
/NSNOTl
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Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
APPLICANT 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)
(Please type or vrint and sign. at bottom)
ADDRESS
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47"9) Lj
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Address)
~~;~~ANT PccH,rl:teJ flu..h""<)
?-z TCD OI'V\P 1\"';; I
(Address\
'101'\1'\ H-oL~
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(Address)
(Contact Person)
'PLICANT SIGNATURE
Quantity
FEE SCHEDULE
Industrial, Commercial & Multi~family 1% of job cost with a $39.50 minimum
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1. BIlle File r'ERMIT NO
2 Gold Ci<, '/'1">_" J ,.
J. Yellow Applicant U...J V ~
ZONING (office use)
PID 'Z-5 -J4<? - 619 -0
. (Phone)
(phone) (c)'57'j<{/Q 9- 4c?OD
Lt/K"eC,' tlf <c;o '-14
(City) (Zip Code)
(Phone) 0/2 Z4'/- 39 7C.j
DATE 0,/'/-:;/D?,
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
')l.J Lawn Sprinkler
, 1 Other
Residential, New One & Two-Family $99.50
Residential. Additions & Alterations $39.50
Estimated Cost $ Building Permit # OJ - () I Z-- 0
PLUMBING PERMIT FEE $ ::1'1. (7)
STATE SURCHARGE $
TOTAL PERMIT FEE $
..JOffice Use Only)
'his Application Becomes Your Building Permit When Approved
Building Official
Date
,50
'IO-cP
I Paid 4-0 - vv
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RecettJo, ffl ~ 1
By .( _
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24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave" S,E" Prior Lake, MN 55372-1714