HomeMy WebLinkAboutPlumbing Permit #03-1323
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
OWNER (] I
(Name) lL\'>p_f\ J noM ~(') l! (phone) f?1B-Z:-? ~..- LIre
(Address) \I> 1j t; ~DUn~~ J VJ_-\, \~ Ct \-();
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~~~~ANT ~-9 Y\ yeW Of ~S (Phone)~ li c;/-3/l5-J/1/0
(Address)3Lo7D DOf1c\ ~c\ f({C!aJ1 ~
(Address) J(City) - (Zip Code)
(Contact Person) '1i1J I~AA"J (phone) ..
./'~PPLICANTSIG~ . r l.L~ DATE t7fja.J.i/IJ3
APPLIgNT PLEA{l 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 Stall
Sinks
Bar Sink
Water Closet (Toilet)
REQUEST FOR INSPECTION
. SENT TO HOMEOWNER.
FEB. 2004
(Please type or print and sip at bottom)
ADDRESS
L 1\ \J
fllli \I \1\A f) \-h \ \ S G'
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
Quantity
\
FEE SCHEDULE
Industrial, Commercial & Multi-family 1 % of job cost with a $39.50 minimum
Estimated Cost $
1AJ{)' DO
tJ; ]Q. OJ
.--
,.--
File
City
. Applicant
PERMIt NO.OS-/3~3
\-05
ZONING (office use)
PID ZS. 39tJ _ 07 .~. 0
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Building Permit # 03 ~ i 32.3
PLUMBING PERMIT FEE $ cPl. SO
STATE SURCHARGE $ .50
TOTAL PERMI. FEE $ 4T), ""DD
(Office Use Only)
.1..
This Application Becomes Your Building Permit When Approved
Pai~ /l
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D~ 3~.OJ
ReceiP~~ ~s5'
BY~
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
I'-Illr rOd~,J.~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~)-O S~+
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( (/11//
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DATE TIME
,2 ~ k;)-CJ1
/-1 :/ /S
3- /6:d-3
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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(.i WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~K~R REINSPECTION BEFORE COVERING
Inspector: r 1/ I Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/NSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/