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