HomeMy WebLinkAboutPlumbing Permit #10-0507 l�/
� OATE TlME
CITY OF PRIOR LAKE -` �
lNSPECTION NOTICE SCHEDULED � � ( ' 1 �
ADDRESS 1 � � ✓ V"iC�i�i�C.�� l�� �
OWNER CONTR.
PHONE NO. PERMIT NO. ! �°���
O FOOTING D PI.UMBING RI ❑ EXIGRAD/FILLING
❑ FOUNDATION ❑ MECH RI 0 COMPLAINT
❑ FRAM(NG ❑ WATER HOOKUP ❑ FIREPLACE RI
O INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
C1 FINAL � PLUMBING FINAL GA INE AIR TST
� SITE INSPECTION O MECH FtNAL ''�„��,��
COMMENTS: {''� �
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�L7°MYORK SATlSFACTORY, PRQCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK, CALL FOR REINSPECTION BEFORE CpVERtNG
inspector: � �� Owner/Contr.
CALL 447-985d�FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.�
INSNOTI
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* �fr R l�� D � �
�; ; CITY OF PRIOR LAKE PLUMBING PERMIT J U N 14 2 010
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y �NNe so B y
' B'"` F"° pERMIT NO.
�. �a �,ty /o . 50
3. Ydtuw Applicu�t
aSC Ot YIIIt 811d S� St b01lOm
ADDRESS ZOI�iING (oR'ia use}
3� 3 � l L�v� G�- � l v� c.(-�.�
LEGAL DESCRIPTION (oel'ice use only)
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LOT BLOCK ADDITION PID
OWNER �Q � .Q. � �,�1/�/L. hone
(Name) i (P )
(Address) lp �j �j l 1 l V� C� �.
APPLI ` �C �- �- hone a �JZ' � � 7 J - �J � ��
(Name) (P )
(.�aa�s) � l ,C. S(o 0 ( I
(Address} (City) (Zip Code)
(Contact Pesson) ' (Phone) "1 5 Z-" � � 7 J ' �J � � C�
APPLICANT SIGNATURE �� � U• vk- � DATE I� "� O Z O I O
APPLICANT PLEASE COMPLETE BELOW
Qaantity Type of Fiatare Qnantity Type of I�zture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
Lavatory (Bathmom Sink) Stand Pipe (Washing Machine)
Laundry Tray (] or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
FEE SCHEDULE
tndusaial, Commercial8t Multi-family i%of job cost with a$39.50 minimum Residential, New One o-Family S94 0
Residential, Addi ' & Atterations S} 0
Estimated Cost S'1 �•� Building Permit # l �
�
PLUMBING PERMIT FEE $ - O
STATE SURCHARGE $ .50 �
TOTAL PERMIT FEE $ � O
(Otfice Use Oob)
This Application Become9 Yoar BufWing Permit When Approved Paid �'tj ,� e i t No� U ���
Date� .To. / v BY
Buildtng 08fciat Date
24 hour aotice for all inspections (952) 447-985�� ta: (9S2) 447-4245
]620l1 Ea�e CreElcAve., S.E., Prior Lake, MN SS37Z-1714