HomeMy WebLinkAboutPlumbing Permit 08-0376
ADDRESS
/~4/0
I
ftTE
SCHEDULED
.5~r:;6 ~
I /
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR,
PHONE NO.
PERMIT NO.
f3 - 37(/J
o EXIdRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
'INSULATION 0 SEWER HOOKUP
FINAL 0 PLUMBING FINAL
SITE INSPECTION 0 MECH FINAL
COMMENTS: L/tW/J
/ 1VZ-t6
I
/\/ I~ (1/
~lO~t"'-Q 1""->0
/'
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORR~ET ~,CALL FOR REINSPECTION BEFORE COVERING
Inspector: 'f J Owner/Contr:
- '/
CALL.: 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETYl
INSNOTl
Date R<<'d
CITY OF PRIOR LAKE PLUMBING PERMIT
~.= ~ PERMIT NO. oa ,037'
3. Yellow ApplicIat 0 . "
(PIcut type or jtdar IlI4 siID lit 1Nmom)
ADDRESS
ZV'.L ~~.fG (oftk:e use)
16470 Sage Way
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDmON
PID
v .~.....&af.
~ame) Told Development
. (phone)
(Address)
APPLICANT
~ame) T,p V<trm Rrn"
(phone)
763-551-8990
(Address)
12700 Bass Lake Road
(Address)
Maple Grove
55369
(City)
(Zip Code)
(Contact P.;.&..u~) Loren Le Vahn
APPUCANTSIGNATURE ~ _ ~ ...A
APPLICANT PLEASE COMPLETE J)~LOW
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)
(phone)
7h~_<;<;1_AQQfl
DATE
h 1 1 "0
Quantity
Type of Fixture
T ..~
Rough-ins
Water Heater
Water Softener
Stand Pipe (WashinJ!; Machine)
SeWR5l;e Ejector
Backflow Assembly Pressure style I
Backflow Assembly Test for Lawn irr!gatiOl
Lawn Sprinkler
Other
.l4"EE S"".tJ.Jl.....VLE
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
Estimated Cost $ !;O 0 ' o-U
Building P"H..it #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
(omee Use Oaly)
I This Application Becomes Your Building Permit When Approved
Bulldl_ ometal
o.ft
Paid C/\ ,r()
~N ,U V 1
Date(,. ").IJ.V
24 hour notice for aU iDs , ,.:". ,., (952) ....7.98S0, fu (951) ....7-4245
4646 Dakota (L....L S.E., Prior Lake, Minnesota 55372