HomeMy WebLinkAboutS/W (Lawn Irrigation) 94-0157 . DATE TIME
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CfTY OF PRIOR LAKE CALLED-IN
INSPECTlON NOTICE SCHEDULED
PERMIT NO. 5'F'w q4't S7 COMPLETED 4�=q4 9' z�
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OWNER CONTR.
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w ❑ FOOTING ❑PLUM8IN(i RI ❑SITE INSPECTION
� ❑ FHAMING ��O ECHANICAL D EXCAV.lGRADINGIFILLING
� ❑ INSULATION ` �'WATER HOOKUP O IAKESHORFJWETLANDS
�❑ WAIL BD. /O METER SET/TURN ON ❑ COMPLAINT
Z 0 FINAL ❑ SEWER HOOKUP ❑ FOLLOW-UP
Q❑ FOUNDATION ❑ SEPTIC INSTALL. O SEPTtC FINAI
�❑ DEMOL. � SEPTIC MAINT. O FIREPLACE
J � FIRE PREV. CJ PLUM8ING FtNAL p
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�❑ CORRECT WORK ANO PROCEED
� � CORRECT WORK. CALL FQH REINSPECTION BEFORE COVERlNG
V ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN.
❑ STOP ORDER POSTED. CAIL INSPECTOH.
❑ INSPECTION REQUIRED. CALL TO AFiRANGE ACCESS.
cal! f r th xt spection 24 hours in advance.
Ow er/ ont . o site
Inspect r 447-4230
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O � P R I� ' fiREEN - FILE
� YELLOw - APPLICANT
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CITY OF PRIOR LAKE NO. �{--.I -
•Lf�NNES��p' SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the City.
APPLI CANT :� QQ � fy� � � �� m Pj � qU V�' PHONE :���• � �
ADDRESS : �3 � � �0�, DATE : � G�
SIGNATURE• � BLDG. PERMIT # � � �
S TE ADDRESS : PID# �S 303 - pl9- b
� J 9 i, � l � �� �r,FI�L IN HE BLANKS .
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1. E i�ated 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 feet from
structure.
This�application becomes your permit when approved.
BY DATE : �I /�9�
FEES: $ 35.00 Sewer and water line connection permit.
$ .50 Surcharge
$ 35.50 TOTAL
* -e�- wer or water individually is $20.00 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.
DATE PAID ��/9�L AMOUNT PAID dO• ..� V
RECEIPT # 01 ��i I� REC � D BY -
4629 Dakota St. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 ( Fax (612) 447-4245
AN EQUAL OPPORTUNITY EMPIAYER �