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HomeMy WebLinkAboutPlumbing Permit 09. 0972 5 0 b 0 00000 ❑ - D O > =C) n* O Cif C7 cn -n z -n m n X v ED v O 8- X X O mAC m 73 m m0 b A ° 3i r 3 Z -4 --I T trl r o m cn m cn 5 zyz ZO cn O )0 t ik a "� .-. - m 0 r., Z O �o oi v * A Z O z et ∎ 2 'i D � �, - 0 T * b. °z 9 = m m x o x 1 ► . n O o :\ s • 000000 xj o x z m v 4 3rl >Cm -i R ' v "IOC C cn .. x3 mx - o 0 CA o -u 0 ° - zzx x 3 z• m '° 0 n 0 r -n ° oO 7, =� Air- v o ° 0 m s rvm O m o N m v A _ c 0 t m . ,, 000000 Li 2 z r: N D�•1, P tt D Z r -0 ' ' ,., II w Z �� m nnz'� v ^ ') . s r 0 ' o 4 pRio e4LQ'ct ii CITY OF P RIOR LAKE PLUMBING PERMIT NOV 2 3 2009 N E S A f' .:'1 1\ 4 A ^ A „ I , � P KT 5 J C ssr ^ � 1. 61ne F ile PERMIT NO. 0 / ,. t `� l/e W ?. Ye C / 1 3 Yellow 4 licnnl • dalk (Please type or print and sign at bottom) ADDRESS r S / ZONING (office use) / 4t 0 qO & u , .�, PS' c, o c- Le- cr,,rN LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID (Name) (: F C O (Phone) 95) g 9O 6 v SO (Address) c9geM 01 Pa Lid 1,1 APPLICANT A / (Name) ��kt -c 1Y(n C`iel ot (Phone) ( // q B SI L/ Cio ( IS (Address) 5 Ili hh eticck" Ave kJ 34- fAvi MK. 5 51x3 (Address) ( ty) / °� (Zip Code) (Contact Person) ) t c 'e .r' (Phone) bs 1 ! S g (S D APPLICANT SIGNATURE /� DATE d) 079 6 J APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough -ins Dishwasher 1 Water Heater 'S ,.. Floor Drain Water Softener 1.: Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) ..1:._ Laundr Tray (1 or 2 compartment sink Sewage Ejector — Shower v Stall Backflow Assembly ( ' Sinks rhoP Backflow Assembly Test Bar Sink _ Lawn Sprinkler 'L Water Closet (Toilet) ( Other t,JA C c3 oL f 72– FEE SCHEDULE Industrial, Commercial & Multi- family 1% of job cost with a $39.50 minimum Residential, New One & Two - Fancily $99.50 Residential, Additions & Alterations $39.50 Estimated Cost $ 8 0035 Building Permit # PLUMBING PERMIT FEE $ 80 STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ SO . SO / (Office Use Only) t A0 f /3'/777 This i PPticomtBlthng Permit en Approved Paid Receipt . SZS..7 So, %t, r ® Date /i 30,0) By Building Official Date . 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 PRIOR LAKE uCratiIMCIV "r BUILDING•AND INSPECTION RECORD INSPECTION SITE ADDRESS N T NATURE OF WORK //G USE OF BUILDING 7,i/v'A 1 Fri IS PERMIT NO. OF DATE ISSUED // //&, G CONTRACTOR �F/# PHONE &- z -3 &3 -i73 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I seams 1 _ 1 _ LwiBATtSN (Prior to Backfill) 1 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS Gill CATER / SEPTIC FRAMING INSULATION t ELECTRICAL PLUMBING e '`' \ HEATING (if required) _5 10 VIMINEW GAS LINE AIR TEST Ilh \ri0 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I -;4.J7- 1.t 00 o FINALS AMINIMPrior to Sodding) « 1 BUILDING -- �j ELECTRICAL PLUMBING 2H/ Cb HEATING 0 DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be posted near an electrical service cabinet prior to rough -in inspections and maintained until all inspections have been approved. On buildings and additions where no service cabinet is available, card shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447 -9850