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HomeMy WebLinkAboutPlumbing Permit 04-0204 ~~l~:~g;i;. >>;f:I. '-. '1'~"1'~1...:. .~1~'..~ H .' I ~. .i ~ , . ._ " A'o&;J .:,;1 CITY.OF PRIOR'LAKE PLUMBING PERMIl .' .', ..~.' "';'.':'1" . 'S;I~t~);h1>' iJ ,,~,:," _ -: '~..:,,(.i:;;~~f \1.t..~,~~"".... '! 1. 8M FII. PERMIi'NO~'~" '. :,. ...;;.'~.;:.;~::.,.,.~~ 1ft':: . <1 2: Qo&d City , .;.:/: ~~. . .=~ ;?1.... r:.a. .' ':.r 1. Yellow AppUcud , h~f... " .. \ '.......,'1 ..,., , ' " . ,...::..\'I:"''i,';~':r. ::"tl~:I'~-'4,;.1 ~_"r%.)i"l". ......~.. ;: , l~:"fl~~O., . ~q:'(~'~>~~ .t~. :;i ~'~'i.' ~!...,~. or ,. ,-t~rf."~'l~\~~j".f>l~ ".;!L', I. ,..~~:';:.f'r~~:~. ;' \,: ...~~~: ~.. ::;.~~.~~f~~tl .~:,. " t , .. :. ,', '. L~.:;: ~,:.~:i.::/:;~: :'::>:;'.:';: ~.. ,e'~_ :iJ~BCi@Q2SCR.tr L LON (offtce \JM ouly) . '~O;'P~I.OCK 2J ADDITION K-A/oh ~~;~':: ,f7:€v..€ 2/l/)//JN "(A~rL:;,)<':: c5/1~L,. Wi ~aeL t.., PIDd5-' 33<1." t)1j.~() '; 1.',"\" , . (phone) 91s;2- ~5- 76~a " :,'.; . . .:;:.;~,:i~~:::';.;::,.i;r~j:~i.::~~ ,:.:'. APPUCANT (Name):'" ~HK,t SII),[, l''--ul'(8/,I.) {. (Add.I~>,:~ '/~t/~9 Z/NA"IA)i AJ/~ . '.. (Add.~). , ~H~L . (phone) d,fV./f~ (City) (phone) 9,501-. Jlf~- 7600 . r5~3 7~ . (Zip Code) 9SJ- tP9Y-7~oO ....iCon~:~~~~) (" ......,.,.,...,.,..: .. .'PLlCA"NT SIGNATURE ~~ DATE - Quantity APPLICANT PLEASE COMPLETE BELOW Type of Fixture Quantity Bath Tub with or without shower Dishwasher Floor Drain Lavatory (Bathroom Sink) I Laundry Tray (lor 2 comp~ l.uent sink I Shower Stall I Sinks . . .:/ Bar Sink I Water Closet (Toilet) Type of Fixture I I :..;.:.... .:..'........ .,." '..' ......;....,' I.....:,... ...-. ". j Rough-ins Water Heater Water Softner Stand Pipe (Washing Machine) Sewage Ejector I Backflow Assembly I Bacldlow Assembly Test- ~ wwn Sprinkler: .,;.....':;~.,~~....1r:~~~..;.~;~":.~r...'~'~.~:.. ... . .0000er. . .' ..;,....,... ;"',':"';~:iJ~'~'~';I':II~~\4.!.- ." .;....r~!" '.' / FEESl,:~DULE . Industri.al. Commercial &, Multi-family 1% of job cost with a $39.'0 minimum Residential, New-one &. Two-Family $99.'0 ~:;,i ~': :. Residcnti~, Additions &, Alterations $39.'0 PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL pERl\t.u..1 FEE $ rn.ro .50 (jI'''. fII4D ~u~ Estimated Cost $ Building P... ...it # r(omce U~.RDIY)', , . ThisApp~icatioD Becomes Your BulldiDI Permit When Approved .; ~ulldlDl Omelal Date Paid tJO...-/ Dat~ .3 I-()t} RCCtltl/ LI/ B . I CJ 0- ; i'.1 24 hour nod" CoraU.luapeetio~(9S~).447.9850t Cax (952) 447-4245 16200 Baal- Creek Ave., S.I., Prlor Lake, MN 55371-1714 CITY OF PRIOR LAKE INSPECTION NonCE SCHEDULED DATE TIME LI~-(jlr ADDRESS / l{13 ~ f4:Ji:J (/f 1flc1 OWNER PHONE NO. o FOOTING o FOUNDATION [] FRAMING [] INSULATION [] FINAL [] SITE INSPECTION COMMENTS: CONTR. PERMIT NO. 4-1-0(,/ o PLUMBING RI [] MECH RI [] WATER HOOKUP [] SEWER HOOKUP a PLUMBING FINAL o MECH FINAL ~ 5/~/fU,r [] EXlGRADIFILUNG o COMPLAINT [] FIREPLACE RI [] FIREPLACE FINAL o GASLlNE AIR TST o ~ /' ~ / /'/A- ( I / ( 'lS:.r ~ l.-/' - "- "---- ~ ~~ r~ /1 ) f-dtP ~ / ~ ------- YWORK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED [] CORRECT W K C OR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: CALL 447-98 0 fOR THE NE;XT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTJ