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HomeMy WebLinkAboutPlumbing Permit 04-0155 ADDRESS j)5f9 DATE TillE SCHEDULED .ff,;q {}IJ ~b;d uJ ~- Ip5 ~ L{- 03 CONTR. CITY OF PRIOR LAKE INSPECTION NOTICE OWNER PHONE NO. PERMIT NO. [] FOOTING [] PLUMBING RI [] FOUNDATION [] MECH RI [] FRAMING [] WATER HOOKUP [] INSULATION [] SEWER HOOKUP [J FINAL [J PLUMBING FINAL [] SITE INSPECTION L'1 j [J MECH J'NAL COMMENTS: ~ U~ [] EXlGRADlFILUNG [] COMPLAINT [] FIREPLACE RI [J FIREPLACE FINAL [J GASUNE AIR TST [J /..01./ ~ ~ p~-c di:- Lj-F/ [J WORK SATISFACTORY, PROCEED [] CORRECT ACTION AND PROCEED [] CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector. OWnerlContr. CALL "7.9950 FOR THE NEXT INSPECTION :u HOURS IN ADVANCE. CODE REQUIREMENTS AlIE FOR YOUR PERSONAL HEALTH & SAFETYI I1U1ffm REQUEST FOR FINAL ,', " . INSPECTION SENT TO ,,"""" 'J,'." :...,.} " HO~OWNEROI-05 1~' f/v'N"'Ufl/4 'UIU:::> Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT .. ;, I~n.. I';:; 'II 1- ---f LJ!G,i\l. ~-~ "....HoIlk:e-1lIIiy) ..LOT BLOCK ~. (Na1IIIII) (~) Au"'lu.DN PID ~~.3.~) (Phone) ~A-UJ.."- e,;_fW'~ _~:, 101~S- ~"'-1' ~. (Address) , (City) , (Zip Code) t1f'~~r~>.I6J{1 r~v-,~~...~) ~~~fz.-- 'U1"1 (";~.-r~<mAWRE ~1'8aA/J8:- C. iMJlIll"'" '3/le~ , ~f"Mft -';f~ 1#I(ii'~~,nVJ~v:l.QW Type ofF, ", , QUBtIty Bath Tub with or without shower Dishwasher Floor Drain Lavatory (Bathroom Sink) Laundry Tray (lor 2 compartment sink Shower Stall Sinks Bar Sink Water Closet (TOilet) liljl;~ll.t:1 "1'11- .,., Y-fJ....,t,? Hu-' 'Ju.H- fAt-,+" !i~'VJ Q....tity Type ofFlxt1lre I .. Rough-ins Water Heater Water Softner Stand Pipe (Washing Machine) Sewage ~ector Backtlow Assembly BacIdIow Assembly Test Lawn Sprinkler Other FEE SCHEDULE Industrial. Commercial & Multi-family 1% of job cost with. $39.'0 minimum Residential, New One &. Two-Family $99.50 Residential, Additions &. Allcrlltions $39.'0 PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE .:$ Building Permit # o~, 01055 31,S{) .50 4<J.-tJe) Estimated Cost $ litH (0fIIee V.. Only) I'ThIs Application Becomes Your Building Permit When A., ".1 I Paid 40.00 10ate.3,/,.O-l-- Receipt ~ 29.3 By ~ / ~l Bulldllll omd.1 Date 24 hour DotIce for oIIlDlpeetiODS (952) 447-9850, fu (951) "7-4145 16100 Eagle C...... Ave., S.E., Prior Lake, MN 55371.1714