HomeMy WebLinkAboutPlumbing Permit 04-0350
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
~ Z 8,tJ4-
I OWNER
(Name)
(Address)
(Phone)
I PERMIT NOeO'ltl D35D I
I I ZONING(~_) I
PID~ 771.(J()/.v I
I
I. Blue File
2. Gold City
J . Yellow Applicant
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
APPLICANT~ ' ~ ~
(Name) ~ .
(Address) I> ~ 0 /)tl/A4114 ,/)"
(Address)
(Contact Person)
(Phone) )6'"3- Y/J-/S&3
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(City) (Zip Code)
(Phone) cp"1l 6/2- 186- <6711
DATE If -^ 7 -d 7'
,APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough- ins
Dishwasher Water Heater
Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 comparbnent sink Sewage Ejector
Shower Stall .-' "Backflow Assembly
Sinks .......,- Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1 % of job cost with a $39.50 minimum
Estimated Cost $
Residential, New One & Two-Family
Residential, Additions & Alterations
Building Permit # ()4" (/:1 .rz)
PLUMBING PERMIT FEE $ 39. fl
STATE SURCHARGE $
TOTAL PERMIT FEE $
$99.50
$39.50
.50
~~tD
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid h , (A) Receipt No;teIP
Date 1/-. 1/1.....0 ~ By ",
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
4 _1.).q~Clt-f
ADDRESS
OWNER
17~YS-
W/~Ht"~}- 11' J
CONTR.
PERMIT NO.
4-]SD
PHONE 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
h CVV1 'h--Yf,ah~
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
COMMENTS:
~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
OR REINSPECTION BEFORE COVERING
Owner/Contr:
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
/NSNOTl