HomeMy WebLinkAboutPlumbing 03-0610
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS -15J S ~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FtNAL
o SITE INSPECTION
COMMENTS:
SCHEDULEO
l-1 "V^-L:..... ." 0
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE
TIMe ~
'1: (e;
9-1'2 -03
Jlv.-D_
x-I/>/O
o EXIGRADfFlLLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
:k~Afl~~.A!R TST
lOo.W ~.
~
~RK SATISFACTORY, PROCEEO
o CORRECT ACTION AND PROCEED
o CORRlliiRK. CALL FOR REINSPECTION BEFORE COVERING
Inspector , OwnerfContr:
CAL 4..~k85D FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE ~QUIREMEN'IS ARE FOR YOUR PERSONAL HEALTH 4< SAFE~I
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..
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
REQUEST FOR FINAL
INSPECTION SENT TO
'asetvp~ororintandsignathottom) HOMEOWNER 6/03
ADDRESS
16753
~
; ~~ ~:~ I PERMIT NO..II.2 _/ {O I
J. Yellow Apphcant l/::J (P
1-h'4h land
V
./tV en Uf!/ t\J W
ZONING (office use)
11 /5 jJ
LEGAL DESCRIPTION (olliee use only)
LOT 5 BLOCK If ADDITION
OWNER
(Name)
Da V ld
15153
(Address)
PID07S-/LI:3" Ob3"~
(Phone) (Q5'J- )LfIfO-f 087
NW
(phone) ((f{'t-) '61> 7~t.-f D32
~"s. ~~!e)
(Phone) ( UO 1 t~7"4D3?J
DATE -5/15107;;
, Quantity
I
I
I
I
I
I
I
I
L
Type of Fixtnre
,
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 8/19/03
FEE SCHEDULE
:ost with a $39.50 minimum Residential. New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
!1DO
Building Penn it #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Omee Use Only)
~ This Application Becomes Your Building Permit When Approved
Building Omcial Date
:?;q.so
.50
~...lj/J . tI,E
Paid A1 ___
~ t.-I~_
Date5_ 1f/---1)3
Receipt No. a
ilLlSL/1
By ~
24 hour notice for aU inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714