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HomeMy WebLinkAboutPlumbing Permit 04-0206 .',\, , .' ". I. BJue '11. 2. QDkI City J. Yellow AppIicuI '.ifll~~1~fi~t~l!,!, ~.... .~t., '.. . .~ ;;J!r~~;~1~ ~~~~~tt~.~:i,(..:j ~ .~~.:~~~~,.~~ i~:~~4:'~-:;::,:~;':~' \~ .~. ". g' PERl\t.u:l N~"; ........ ""'~~li~~i:iii'Jl.I:'! ;. , . . ~<i . . ...~~. .:r ',;::.:-:) ;~: i.,:<~.-:' ..:.:';:,"; ,RoB/I!, ~/. ..p:~H!i:.:.':,: , . ';~',\~,.,. . ";O!QAt'DBSCRIPTION (olllco 1!10 oDly) . td- '''~Oi:&~LOCK 6' ADDmON ~ob tiu-e a ' ....;.'.._. PID ;:)5 -3 3'7- CJct-a d OWNER:'1~~"~':'~ ' . u (N , ., . }.;,i::,.~,,;:::, "~C"" &me ,...,." ,i';':~ .:;~~< 6' H{,/~,E" cf)1 u'c" ',iFh (phone) 9SaJ- ~~S"- 'Y~~3' (AdcL~J) ,:;.;.:;:i[H::~.;~3~:~j:;',: :\~., .. APPUCANT (Name)';'" AAK~ cflf)e, l'''UIL(Ii/~6 (AddresS) /;lY6i Z/NR/I,Ui AJ/~ (Address). \ ~:~~:GNA:::L d/ ~ (phone) 9501 - tftY- 7600. t5~3 7~ (Zip Code) , 9::;;;- eP9'/-7~oO . (phone) d"I/./I~ (City) DATE - Quantity APPLICANT PLEASE COMPLETE BELOW Type of Fixture Quantity Bath Tub with or without shower Dishwasher I Floor Drain Lavatory (Bathroom Sink) I Laundry Tray (lor 2 compartment sink I Shower Stall I Sinks '.1 Bar Sink ./ Water Closet (Toilet) Type of Fixture '.i. ". I I / : 1"':,...,..,..."., .," ' 'I Rough- ins Water Heater Water Softner Stand Pipe (Washing Machine) I Sewage Ejector I Backtlow Assembly ( j Backflow Assembly Test- ,1 Lawn Sprinkler. ,,:.,:;\..,';"~;,;...,:....._;<:,,~;":.i1-:,i.:'... . _I ..,<,~ ., .Other ,..: ,; ,".,....; ,.... :"~!~.~l,~..Jt":i~:I;f\w<', ~ '- \ . .' '. :.j?.........,: .'.-' / ,....'. . ..):. FEE Sc..;wJ)ULE , In~al, Commercial &. Multi..family 1% of job cost with a $39.'0 minimum Residential, New'One &. Two..Family$99.50 ':~l. :. .' '. Residential, Add1tions &. Alterations $39.50 PL~DNGPE~TFEE $ ST A TB SURCHARGE $ TOTAL PERMIT FEE $ cn.ro .50 '/0. fIItQ ~otJ) Estimated Cost $ Building P,... ...it # I~omcc U~.RDIY)' . This Application Becomes Your Building Permit When Approved \ \'.\\.' \. '\& . ,.r ~u11dlDl OMdal , Date paidL/O r--- Date~ -3) -cY( ReceiPtQ~ t/ t// · BYG ' 0- 24 hour DOtice rorallwpectio~("2),+67.9850t fax (952) 447-4245 16200 Ea&1' Creek Ave., S.I.; Prior Lake, MN 55312-1714 . '<""''''~''''''''~'' .........-- '" a. ...~ .v~..... _~ ......._....._........... .... .', .',....~. .......... '4..~.."."'~'.~ ~:.'. DATE nilE CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED LI~ ~'f ADDRESS /'110 2- l4>~t~ fl~ OWNER CONTR. PHONE NO. PERMIT NO. t{ -1-0(, o FOOTING o FOUNDA rlON 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 o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: ~ ~ (/;~jK ~L \) \ L/l L;'/ ~ ~ d~RK SATISFACTORY. PROCEED ~ ~-~RRECT ACTION AND PROCEED o CORRECT ~~K~ C~OR REINSPECTION BEFORE COVERING Inspector: --pt tLf1../ Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! IItS1IOTl