HomeMy WebLinkAboutPlumbing Permit 07-1118
DATE TIME
CITY OF PRIOR LAKE ~!~~
INSPECTION NOTICE SCHEDULED
ADDRESS 5P:-%- IT \M 'v.ar \r-
OWNER CONTR. ,
PHONE NO. PERMIT NO. t""] I \1\ 9-
I
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION o MECH FINAL )( ',\a :t....... l...D..4..o r
COMMENTS:
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~ORK SATISFACTORY, PROCEED
o CO(7R f7ANDPROCEED
o CO ECT) qRK. CAL FOR REINSPECTION BEFORE COVERING
Inspe r:..( I Owner/Contr:
CALL 44l~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTI
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
;:~ ~:~y PERMIT NO. 07. III J:<
3 Yellow Applicant r.d.-
(Please type or print and si2ll at bottom)
ADDRESS ZONING (office use)
5 B q '5 I i V\I1beYl(o. i I 'Vnoy LalLe,
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER 1/ ..A
(Name) -:Pl-1ilip ~o~exs
(Address) 58Cf5 '\lW1bev\VtU l
(Phone)
952440 '7203
'17YIO r Lak.e
APPLICANTD .-n 'lJ( 1_ ' CI
(Name) YcMkyrO "\ U~~V"iL;(~ (Phone) lS2. L(&q G,qqq
(Address) 5B L5 2Dq~ -7t. uJ. L Q ke V i II B 550 4-c{-
(Address) (City) (Zip Code)
(Contact Person) ,J eM V\ vi _ (Phone) qs 2- L\-G:?.q w q q q
'PLICANTSIGNATURE~( --~ DATE II 7, 07
APPLICANTl.eJASE 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 Stal\
Sinks
Bar Sink
Water Closet (Toilet)
Quantity
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
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
Estimated Cost $ 7 q s. 0 0
Building Penn it #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
;!Jq.50
.50
40.00
(Office Use Only)
''lis Application Becomes Your Building Permit When Approved
Building Official
Date
Paid 16. () 0
Date / i (t,.. tF7
Recer No. 5l0+-S'
B~.
U
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714