HomeMy WebLinkAboutSewer Permit 99-0788
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCH~OULED
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ADDRESS
5~09
/L/-o 77i
PHONE NO.
PERMIT NO.
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OWNER
CONTR.
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
P\~PLUMBINGRI H-z.O /...ltJ6
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLING
o LKSHOREIWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
COMMENTS: - ~ ~~
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o ~K SATISFA(. ORY, PR CE~-~ V tJ'- l
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o CORRECT WOR .ALL FOR R PEdtlC ORE COVERING
Inspector:) Owner/Contr:
CALL'l47);;0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RVuIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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GREEN - FILE
YELLOW - APPLICANT
GOLD - cln
CITY OF PRIOR LAKE NO. 99-788
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the City.
APPLI CANT: (l 0 ~el..? (/ Ie C' S
,/
ADDRESS: ~/rfS- /rlo.uIC'Key d~" c
SIGNATURE: tlAr:~,--/). 9' +-__/L-'---/
SITE ADDRESS:--,c::,40'\ 140T~ el
PHONE: tl;;J - 1/~/- 5'~'/
DATE: 6- d,).' 7P
BLDG. PERMIT #
PID# 'L '5. DCe"~ DO~,. 0
FILL IN THE BLANKS
1. Estimated length of water service
feet.
2. Size of water service
inch(es) .
3. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS
PVC
Cast Iron
5. Estimated length of sewer line
feet.
6. Clean out (if required), located at
structure.
feet
from
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This app~~ig9,be9o.~f ~~r permit when approved.
BY ,~_~ DATE: ~ /24-/11
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*
$ 35.00 Sewer and water line connection permit.
$ .50 Surcharge
$ 35.50 TOTAL
F~r either sewer or~ individually is ~ plus
$~sUrCharge. .' - {v'l_'Y ~
Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued.
FEES:
*
DATE PAID
6/2-4-/'19
. .
355b3
AMOUNT PAID .$/IJ $
~
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REC'D BY
~
RECEIPT #
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
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