HomeMy WebLinkAboutPlumbing Permit #08-0489 DATE TI�AE
CITY OF PRIOR LAKE '� f r
INSPECTION NOTICE SCHEDULED
,-- / �_
ADDRESS � � � � J � f ! ��� �'��`-�-�- � C
OWNER CONTR.
PHONE NO. PERMIT NO. ��� °�-� t� C �
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ ,)M1IATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION `',�'' S�WER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
`; � �-�
{
; �-
� �� �`" �n�°'�..�-�-�'
.�
._.:_�;
❑ WORK SATISFACTORY, PROCEED
O CORRECT ACTION AND PROCEED
❑ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector3,_ ;��� nr' � Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOT/
�Q YRfO�, Date Rec'd
� � CITY OF PRIOR LAKE PLUMBING PERNIIT
U trI
'd �Q'
`�'NES
,. B�� F�a I NO. �� D�'{
z. coia c�Ty L
3. Ydlow Applieeot
IC88C O! � SDd 9Y fl(1[[ODl
ADDRESS ZOAiIl�TG �o�,�>
j(p135 S+,U'Qwl �ve �,�.
LEGAL DESCRIPTION (o�'ice use only)
LOT BLOCK ADDITION pID
OWNER
(Name) tQ �� LG �v P o � a. (Phone) ��a -� o - S4 4 s
cAaar�S> 1� t 35 s�. �� �� ��.
APPLICANT 1 � S- 3 5'� Z
(Name)��'[ ` �C orc'fer � e a�� � � (Phone) 7 � 3 - Sl � - 3 �IU�
�Aaa�� I��� � d7t z4� �� t�o Ip�H �.� �.� ss 7
�Aaa�� cicy� (zi� coa�)
(Contact Person) ��t..v�- � o �t t�a- �a� o � `o `15 �'t (Phone) �� � - agC4 - S � � � �C c l,
APPLICANT SIGNATURE � � �� - - . DATE _ 7- /�`� �
APPLICANT PLEASE COMPLETE BELOW
nanti of Fgture nan ' of Fiatnre
Bath Tub with or without shower Rou ins
Dishwasher Water Heater
Floor Drain Water Softener
Lavato athroom Sink Stand Pi Washin Machine
Laun Tra 1 or 2 com ent sink Sew e E'ector
Shower Stall Backflow Assembl
Sinks Backflow Assembl Test
Bar Sink Lawn S rinkler
Water Closet Toilet 1 Other e��, r G✓ ��� �� k. �
/� l�.o�s �
FEE SCHEDULE
Industrial, Commercial 8c Mulri-family 1% of job cost with a 549.50 minimum Residential, New O� & Two-Family 5149.50
Residenrial, Additions & Altetations $49.50
Estimated Cost $ �� ?`�� �� Building Permit #
PLUMBING PERMIT FEE $ �7 4� �a
STATE SURCHARGE $ .50
TOTAL PERNIIT FEE $ ��i 4, o �
(Offiu use oaly)
This Application Becomes Yonr Bailding Permit When Approved Paid �,,� Recel N y ,� � �
� (O
Date . r 0 r � BY
sm�a;� ot��vi n'h �
24 hour notice for ait inspections (952) 447-9850, faa (952) 447-4245
4646 Dakota Street 5.E., Prior Lske, Minnesota 55372