HomeMy WebLinkAboutPlumbing Permit 04-0658
JUN-28-2004 10:50
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CITY OF PRIOR LAKE
9524474245
nate Rec'd
P.01/01
CITY 01" PRIOR LAKE PLUMBING Pl';l{M1T
/
(Vlfa". '1'P.'. orprln11111U .im I.' botIom)
I ADDRESS
\L.\(o50 wiJ,d... Pa..r~l.DOJ.I
l ~:~ ~~. I PERMJT NO'6 A 0 ,^,,-/1 I
J ....11..- -l,pli~...1 c.r. tV J -EJ
I :tONING (0"" ,oM) \
~ LEG^L Vlj$CRll'110N (om",. u'" onl,)
LOT 311LOCK :s .ADnrrION 11fE vJ/v.DS
OWNER \ <'h
(Nome) _ '-..10,;;::,
(Address) \4~SO
ASh ,'Y\L
W l1cl POI ~ V\rav
. (Phone)
rIDZs-. z17. ocs-.O
so~-9nl
,ArrLIC^NT ,IGNATl.TRE
~~:~:~ANT.B.w~:PltJ.n'~ "'~~un<) ((osi)4~/-qaI5
(Addre,;) _.3550 Vermt.LQl~~ .,cb(a9,tlY1.Q5 8::0'55-
(Address) (City) 'D (Zip Code)
ISl:c.l1S@1 (p~one) (~5 [) L/;3 7.q.Q.1 S
V ~DATE ~J--OY'
APPLICANT PLEASE COMPJ,RTE BELOW
I Quantily. I Type of Fixture QIIMlltity I Typ.ofFI~tnr..
I Bath Tub wIth orv,lIthout ,howcr KouAh-ins
Dishwasher Waler Heoter
I Floor Drain Wated3icdlllel"
Lav~tnry maUII\J\!1l1 Sink) ~talld YIp<: (WQshin~ Machine)
l.aulldry Troy (1 or 2 compartment sink ,cwa~c "'Jector
Sho""r St.lI BaokllOW Astembly
Sink3 Backflow As:semhly Test
B3-t smk I Lawn gr,lrillkler
I Water n. ,,~l (Toilet) " OUlcr
(Contact Per.;on)
1
I
v-
FEE SClff,DllLE
Industrial. CommetciaJ &. /V1ulti~r~mlly 1% ufjuu .,;o:st with a $31).50 minimum l{fI:';irlcntlal, New Om; &. Two-PClrnily S99.S0
Ro:::idenlial, Additions 1.r. AIlt:nWlJu.~ $19,5Ct
E~~h/li:1l~d CQ~t $ cOCi).OC) B\li1r1ine Pellllit # () tf-. 0 (0 S"" e;
PLUMlllNG PERMIT FEI! $
STATE SURCHARGE $
TOTAL PERMIT FE!!: $
40
.50
~o,s6
(Ofntl;\!llCOll!Y)
This Appli~~tion Beeontts Y(1UI" AuihUllg permit When Appro~ed
Bulld.in.~OIl1('11I1
PI"
Paid tf1J ,sf)
D"0.oC:UJ f'
Roo",jO. 4 7.).-3)
aO'
24 l!.our DoUet fur .11 i"liPc~t1otl, (9S2) 447 9S:S0, fllll;t (!:JS1) 447....24!';
16100 E_g" Cnlek A'V<I!., S,E"... Prior L.k~, MN .$S372-171'"
TOTAL P,01
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIMe
f?- ~ 0 -() '-I
ADDRESS
/4-(, 50 WI L-OS f',tWV
OWNER
CONTR.
PHONE NO.
PERMIT NO.
of- . (,58
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
IT FINAL
'b 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 GASLlNE AIR TST
,0
S f)o/l~7v---
COMMENTS:
i.. CLtUP1
\ f e." \.1/
/1 lY I -
(/' '(I
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~~, CALL FOR REINSPECTION BEFORE COVERING
Inspector. fD ,f').--- OWner!Contr.
CALL U;-~o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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