HomeMy WebLinkAboutSewer Permit 99-1356
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
Sc'J..JEDULED
#1/ -1:15"
ADDRESS
5395 /40771 ~/.
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CONTR. --..S Cl., .(1-; 1
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PERMIT NO. fJ Cftdl-7LJ~~
f\ X PLUMBING RI 0 EX/GRAD/FILLING
A 0 MECH RI 0 COMPLAINT
~ WATER HOOKUP 0 FIREPLACE RI
A ~SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
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Inspector:
Owner/Contr:
CALL 447-9850 FO~ THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE,EQUlREMj 'ITS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
V INSNOTl
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GREEN . FILE
YELLOW . APPLICANT
GOLD. CITY
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
S.W.No. CJ4-/3S0
NOTE:
Sewer and Water
contractors must
be registered
with the City.
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ADDRESS: C) /'1 t'S /J1 D f// t t ~ R 't' At/~
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SITE ADDRESS: S-.s9.c::.-. /71d,../j
SIGNATURE:
PHONE: /;/:J- ~~ l- ~ -<~ I
DATE: /1- h - 99
BLDG. PERMIT # 9'1 ~/3 s-0
PID#_7~/-- ()C:,{..;; - f5(J 7 ~()
APPLICANT:
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
:1' .
::::~:::::~~~~::~~:::~::::::~::::~::::~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~}f~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
FEES: $' 35.00 Sewer and water I ine connection permit.
$ .50 Surcharge G; -
$ 35.50 TOTAL ''''I
* Fee for either sewer or water individually i $j.'?!J'IJ plus -
$ . 50 surcharge. ~
*
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.
l/t4/91
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RECEIPT #
.3!{1 c;.l?_
AMOUNT PAID /17 ~)
~~
/
REC'D BY
DATE PAID
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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