HomeMy WebLinkAboutPlg Permit 04-0059
.....
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 01-05
I--J-ar btJY P ~
Date Rec'd
CiTY OF PRIOR LAKE PLUMBING PERMIT
(Please type or print and sian at L _ ..__)
ADDRESS
Ll5Lfl
OWNER
(Name)
(Address)
It'cuv(fm /;;(11I1
Uvano. EDn&ttL
J.'
~ rrart>>Y Pl~
LEGAL DESCRIPTION (office use only)
LOT ~LOCK ~DITION
2. (p .04-
~~licant PERMIT NO.~f" 005/
ZONING (office use)
PID ~t;- Iqg,'" 00(, .....{)
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(Phone) (C/52-)q[)3...q&5'1-
(Phone) tt:P/2) g~7"40 33
~') .n1p/5. mAl 55Lfo~
(City) (Zip Code)
(Phone) (t..R Ip) g"b 7 -LID?;?;
DATE I J..jJ I D4
~;;~fANT NortJ10Yn Plumbirzq
J
(Address) 2f105 tzM r::iud ..T1Y".t-.
(Address)
~ontact Person) ~u
1 2PLlCANf SIGNATURE ~--
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APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
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)
Quantity
J
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
kflow Assembly
dlow Assembly Test
n Sprinkler
'r
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 01-06
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Building Pennit # O~ 0059.
,
3'i.~
.50
L-ffL oe
Estimated Cost $
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
rmce Use Only)
. ,'his Application Becomes Your Building Permit When Approved
, :::....-r
Building Official
Date
. paJo.OO
Dat~. (p. c4-
Receipt NO.4f,241,
~.
24 bour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
DATE TIME
~
"
~SY/ 4r~r ~/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
~UMBING FINAL
o MECH FINAL
~
~- J~'
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS/,? ;'. / ~." ~ .,/ l
/C~/QC<~ d ?(/Ip'fb- ~ /2r-
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2/Rd'1""'. ~(}/r:,A
~SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~"~R REINSPECTION BEFORE COVERING
Inspector: ,~_____. Owner/Contr:
, ,.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH & SAFETYI
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