HomeMy WebLinkAboutPlg Permit 03-0891
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
REQUEST FOR FINAL
INSPECTION SENT TO
(Please type or print and sign ~!J: ()~EO WNER 8/19/03
ADDRESS l/..tl? lP 7
I. Blue Fil.
2. Gold City
3. Ye!low Applicant
PERMIT NO. 03- 8'7/
BLinM ~ TraiL
<St.
ZONING (office use)
LEGAL DESCRIr uON (office use only) l.
LOT6 BLOCK 5 ADDITION p~ ~().1
PID ;1o~ 0/'''' D ~50
OWNER
(Name)
(Address)
. R1J lJert
'ndh LILt~ TraU Of;'.
(Phone) (Qv/2-) q 2IJ; - ').. ?i80
APPLICANT .
(Name) NO[blbm p~
(Address) #/05 f1t1A"-ff.eld AV-lI. 8;.
(Address)
(Contact Person) (J.e/r l:ililfJ~ t~
('PLICANT SIGNATURE ~
,
(Phone)
(phone) ( ~ 12.-) ro~1' t.{01; 0
6fJfof
(Zip Code)
(01],) 8'P7-'1033
DATE ~/8J/Oo
m (lLS.
- t (City)
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher I Water Heater
Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks REQUEST FOR FINAL Backflow Assembly Test
Bar Sink NSPECTION SENT TO Lawn Sprinkler
Water Cl kOMEOWNER 1/04 Other
__oJ,""u.E:luuLE
Industrial, Commercial & MUI'- .......,IY 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $ LfOD. c;g
Building Pennit #
Building OfI1dal
Date
,~50
.50
Lf{)..
Paid l/~~
Date/ *7 <3
Re~iI~ti3
By t;C--
II
24 bour aotiee for all iDspeetions (951) 447-98SO, fa (951) 447-4245
16100 Eap Creek Ave., S.E., Prior Lake, MN 55372-1714
<-~<~
~
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
2. .n.alp
ADDRESS
I {, 1~ 7 8lAND L-~. 1fl.,L, .
OWNER
CONTR.
PHONE NO.
PERMIT NO.
:$ . gql
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 EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
SENT TWO REQUESTS EOlL
11~SYEL'11UNLEI'I'ERS Ul)'1
--B.Er~,TVED-.NQRESP~
CL
T9
INACTIVITY
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH ~ SAFETY!
",SNOTI