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Plumbing Permit 04-0207
,'., ',. ,,';i.,,\;':\;~t~i:!i;'i~:.'.i:~'iit.$.~~~~I~~::.'\l'~,t:....n.:....;: ,;;;,!;;ji::f:;,;:~~ifw~~~~~tn.~ .' .,....CITY..... .OFPRIOR'L" AKE.... PLUMBING" PERMI' ...;xr~~f.t~:,r.:~}l.~'; ,;~i:~(~t~.:..:;: ,','" .., " . 1.,.:~.~~ ,~~:. ;t~~~~:.':.'\ . . JfI" . ':"". ..:....'.. it:., "I' :II. :~'~..~"......~: , ':"j~. ~ it~ifie'.~ ~i. S- p~~~~~.r:':1 i:.....:: ~.:~.QI.,G.(O~'*)ili ;,. :: ;';-"" ~~'T'~'''''' . lI"l\!t..~l~..,{"~~. ':"'.' ). ,.:)0:', ~l:~':":' .. '. f~'!1:'i~!,~~f~?fi~ .:.. ..: /f'o~ IrN' ~t#. .' .~~~ ~~:. ~i!.~; ~ ~~~~, ~:J~~~i: '; ~ ,-~:: L".~ : ", '.. <:\~~~:!~::=: r<:nb (NO~)';,'(;:.'~O:<:.J~/,1N' L?4 ~ /Jt1'I-J &me \... ".... <J~ :~(A~J,r:.::~.::<'; ~N,&t L 'liu . ,~ /tL1 . ." " PID;lS -739 -cJri:f-8 . . . i: ~i . . --'!~: (phone) 95.; --'J $'- /.1~'" '.' .. ..", :., " ,.' . ::.;,;!:,{i',~r:~.i:3;~:~j:~",:\~",: APPUCANT (Name)"'" ,{IfK~ SlIJe, l'l,u"t/J.l6J 6 i . (AddresS)'. /~Y69 Z/NA,l/AJ AJ/~ (Address). (Contact Person) C',I9)eL . (phone) d;t9V#~ (City) (phone) 9501 - tff7"- 76ao' S$*37<f' (Zip Code) 9SJ- J19'/-7~oO ~'~'~~:~~~~'.~'~:~~..::~f. . . ('PPLI~ SIGNATURE -~~ DATE - Quantity APPLICANT PLEASE COMPLETE BELOW Type of Fixture Quantity Bath Tub with or without shower Dishwasher Floor Drain Lavatory (Bathroom Sink) Laundry Tray (lor 2 comp~ l.ment sink Shower Stall I Sinks .1 Bar Sink I Water Closet (Toilet) Type of Fixture . . .. . :' . .~'.; ..: . .... ,...j . ~.' . .: . I : .r'~. ,.,~! f. ":' ..-..,.. . I Rough-ins Water Heater Water Softner Stand Pipe (Washing Machine) Sewage Ejector . Backflow Assembly I Backflow Assembly Test ,I Lawn Sprinklor ":":."~"",;;,",:",,,,,;~~,;,;":,,,;.::.:... ... 'I .Other >. ;,:~:.:".;~;,:~>~,':il:i'~:'K":i.ciI1..\o\:<.......';" ,; '''.r .~~ .' / 14 '~,I!; SC.l.UJDULE . lnd~~~ .C~mmercia1 &. Multi-family 1% of job cost with a $39.'0 minimum Residential, New-One &. Two-Family $99.S0 'I"~ . . ' Residential, Additions &. Alterations $39.S0 PLUMBING PERMIT FEE $ STATE SURCHARGE S TOTAL PERMIT14~~ $ a.j.ro .50 qO. I1AQ ~odJ Estimated Cost $ Building Pennit # (omce u.. qaly)' ,.: . ~his Application Becomes Your Bulldinl Permit When Approved I ., .\ \.\ \:. , . . .;. ~uBdlDI amelal . Date Paid/ j ~ C-/()r Da~_ 5' /- L( Receipt NL/O.. tI'I/. . . (., . j 'I 24 hour Dode. Cor aUiDlpec:tlo~.(,,2).447.'850, rax (952) 447-4245 16200 lap. Creek Ave., S.E~ Prior Lake, MN 55372.1714 )' CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS OWNER /4'J3y- U20~,~ 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 DATE nilE LI~~'I fLr1 LfrkJ o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: ~ _((lr7A/C./~/' ~~ / .------ / -, /' ~ I yl / / / I'C..P h{ y f / ~V:;L- \; · / \. \../" ------- / "'-- ~ ~ \ / IWORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT ~IiKn FOR REINSPECTION BEFORE COVERING Inspector: ! VI../ Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. L..l.j l,jj. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!