HomeMy WebLinkAboutPlumbing Permit #03-1038
AUG-04-2003 08:23
CITY OF PRIOR LAKE
9524474245
P.01/01
Date Rec'd
CII Y OF PRIOR LAKE PLUMBING PERl\'Jl1
(Please tYPe (It Print and sign at bottom)
ADDRESS ZONING (onlee use)
~ 4f'1) - .~~(~ ~k:e. ~ oa...C....
I. BJIIf Pile PERMIT NO. 3 -~{}3 e
2. (ic)ld ell)' 0
J Yollo.... AppliCllnI
LEGAL lJESCRil' lION (office use only)
'LOT~?LOCK ADDITION~' ~~
I I
OWNER
(Name) ~ #lJ.>.! ~~
(Address) !l" , ~ sf f{~^"K V.A..~ ~ 0t1 \
APPLICANT
(Name) "t}4o - R 6cl-4..e.a..
PIDd~; /33-081-0
(phone) ~~~1f'lI)- ~..f1)~
(phone) ?~~- ~ _"'3 ffJ ~
(Address)
ILf'r~ b - ~?y}-U- ,A~J\/
(Address)
(City)
(Zip Code)
(Contact Person) B ;4 f
APPLICANT SIGNATURE ~ ~"~
-., - . ,. ,." ..
(Phone) ? (, '=3- 1)/ '1 - ? _t~ r
_ DATE ~G-'11 'O~
~
Type of Fixture
Bath Tub with or without sllower
Dishwas-her
Floor Drain
I Lavatory (Bathroom Sink)
I Laundry Tray (lof2 compartment sInk
I Shower Stall - ---- "
Sinks
BaiSi"iik
Water Closet (Toilet)
APPLICANT PLEASE COMPLETE BELOW
Quantity" Type of-Fixture
----- --.-
Quantity
Roughftins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector -
Backflow Assembly
Backflow Assemoly Test
_ _ ' " " Lawn Sprinkler .
Other
IfJlj}l., SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
Residential, New One &. Two..Family $99.50
ResidentiaJ, Additions 11 Alterations $39.50
Estimated Cost $ ~'O
Building Permit # .
PLUMBING PERMIT FEE $"
STATE SURCHARGE S
TOTAL PERMIT .r".I!.;.I!.; $
g tb-()
;a..;lO .50 4/..
tfl # 70 ~ '-fa ,-
(Office Use Only)
This Application Becomes Your Building Permit When Approved
BulldIn; Official
Date
. pajd_~ I, 70
Dat~_S'-~
Re;?~9 If
By ~
1/
14 hour Doti~~ lor all Inspections (952) 447-9850, (ax (952) 447-4145
16200 Eflgle Creek Ave., S.E~ Prior Lake., MN 55372-1714
TOTAL P.01
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
COMMENTS:
PERMIT NO.
k ~PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
f2~ ~~S
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
()/ n /
.- \,v
" (\) , ~
_\0 j,
I j) V
J \'
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. 4{ Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTl