HomeMy WebLinkAboutPlumbing 03-1239
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED l(j - ~ 4"}
ADDRESS ~)oB
tJ ' '(d /-bi<lr-{
OWNER
CONTR.
PHONE NO.
PERMIT NO.
\- 123.1
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 EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
Tt~~~~E~~
COMMENTS:
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
I 0 CORRE~RK' CALL FOR REINSPECTION BEFORE COVERING
Inspector: ' Owner/Contr:
CAL ~~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE R~REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
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Date Rectd
ClI''/ OF PRIOR LAKE PLUMBING PERMIT
(P1GUe!1.eC O1'J)rint lAd siRl'1 atL ..".,...)
ADOlU!SS
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I. II.... Pil. I PERMIT NO. () ':::> -' '~
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ZONING (alDce \Ise)
LEGAL DESCR.tr .lION (ofticeuseonty)
LOT f BLOCK J ADDITION
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(Address) ~"30~ W~~ C/.
AI'PUC~ I \j'-tI...L 1
(Name) LA_ na.... +-~\ ci (Phone) 9~''TY-7~~
(Address) {q~O rn~ 0 J)1'"ic;y-~ ~-nr-
(Address) (City) (Zip Code)
(Conr.a.ctPerson) ~~ - (phone) ~~-t..('.'.7-'f41?;'O
APPLICANTSIGNA~~~~~ DATE 9~,..A~
(Phone)
44-1- CI 03:J-
APPLICANT PLEASE COMPLETE BELOW
Q1tantity Type of fixtUre Qua" .:.} Type of FixUire
Batb Tub with or without shower Rough-ins
I Dishwasher Water Heater
Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink I Sewage Ejector
Shower Stall I Backflow Assembly
Sinks Backtlow Assembiy Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
1'1l.J!. SCHEDULE
Industrial. Commercial &. Multi-family 1% of job cost with a 53950 min:........... Residential..New One &. Two-Family 599.$0
Resid.el\tlal, Additi4ns It. Alterations $39,'0
Estimated Cost $ 4-7~
Building Permit If
PLUMBING PERMIT FEE $
STATE SURCHARGE. $
TOTAL rJ!.A1dIT FEE $
31-!P
.50
'ttr -
(omu Use Oftly)
This Application Beeomes Your Building Permit When Approved
B1Iild\lIg omtill
Ollte
Paid t!IJ.-
Date 9~ It- 5
R~!iP.t No. ~ I 0
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14 hour notice for all itlspediofts (951) 44'7-9850, fax (951) 44'74245