HomeMy WebLinkAboutPlumbing Permit 08-1027
DATE
l/r~~9
:s ~ \4- b ~~"7u If." IlL
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FI~?L
COMMENTS: ~ V/~/fv12.
( J /'\^ ~
,fI'!-r~!~UlZJ
TIME
~ :<'p f'
&.. (Oz.,
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
. -
.. V~ORK SATISFACTORY, PROCEED
~ORRECT ACTIONQD PROCEED
o CORRECT ":7J" ... L FOR REINSPECTION BEFORE COVERING
Inspector: rL.. Owner/Contr:
I
,CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
(Please type or print and si!tn at bottom)
ADDRESS tJ... ~ i L-' rl'
00 ~rtUl t(qnt's'TraiL
...J
LOT
LEGAL DESCRIPTION (office use only)
ADDITION
BLOCK
~=R DDrevn ~cxbf(ed~tyL,
(Address) 3~' t-f 8 reeA1 Ht{C n-t) Tra-i I
l
v
APPLICANT N 0'( l?L kVIA PI I I >"\/\ I"~
(Nanrre) \>1 , ~ l/l)lA y l)(I~
(Address) 1J1lXJ L1fLr-n e~ct Mv .
(Address)
(Contact Person)
APPLICANT SIGNATURE
Quantity
1. Blue File PERMIT NO
2. Gold City . ". f 0 '71
3. Yellow Applicant 0 L.,
J
ZONING (office use)
PID
(Phone) (qS'L) 'f'-fO. &:;0 I ~
(Phone) ( Ltl ~)<6~ 1- 4 OJ?;
rvLplS 55L/O~
(City) (Zip Code)
(Phone) ( U/2) ?; V -, . '-I D'?3
DATE 'U23/ DJ>
. .
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (1 or 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Type of Fixture
Rough-ins
I Water Heater
I Water Softener
Stand Pipe (Washing Machine)
Sewage Ejector
I Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
lather
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $49.50 minimum Residential, New One & Two-Family $149.50
Residential, Additions & Alterations $49.50
(Office Use Only)
Estimated Cost $ 'fCO. e::-
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
'-V1.60
.50
50,~
$
$
$
This Application Becomes Your Building Permit When Approved
Buildine Official
Date
Paid 50. 00
DatyZ. 2.9, Ob
Receipt NO.57; a4-
Byf
()
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372