HomeMy WebLinkAboutPlumbing Permit 04-0657
JUN-28-2004 10:50
CITY OF PRIOR LAKE
9524474245
Date Ree'd
P.01/01
@
CITY UI" PRIOR LAKE PLUMBING PI!;HMlT
CVku" .!)'P.'. or minllllllhim lot l-ottom)
I ADDRESS 8
'd Id
Cou.~o..r
c.-
,. ".. Pi>. I PERMTT NO zJ
' r." '''. "0 A /1.57
, V,I1".., A,pll..... ~ .uP
Po.. ~ \ l.ONINO (0"" ".) \
~ I LEG^L JJbSCRIl'110N (om" "'" onl,)
LOT '6 llLOeK .3 .A Tlm'l'ION W I 1.-0 S N 0 (l.S{11
PID 31,404- .04-10
nWNER \
(Name) ---'L.rem V ",-~kJ\ ~ (Fhone)
(Address I d-S I~ Co~ar Path /
.A PPT.TCAm " . p -' i.or>-+I nta.. q
(N,me) ,>Inaf\~O(\ tLlrnbln'l1 q. 'fU.^'" (~unc) (051- 437- 2..15
(Addr.") 3550 Vennll \ joil ~ tias.t\ Yl9P ml..J S5D~
(Addr",) (Clly) (Zip Code)
(Cont.etperson) rn.a+t c.n.nstensof\..... (PMne) (OS 1-4-3J-Q.;2/5
ArrLlCANTS1GNATl.TRE ~ ~lY!'O-"DATT!. ~-;;J,i-tl4
APPLI CANT PLEASE COMPT ,F.TE BELOW
I Quantity. I Type of Flsture _.In.Httty I Typo ofFI~t.re
'Bath Tub with or Without shower I Kou~h-ins
Dishwasher Water Healer
~'loor Drain ' Water gnf'(;.ef
Lavornry (FlaUlI\!V1l1 Sink) Rtillld PII'" (Woshinl\ Machine)
I..und')' 'hay (lor 2 eomi>artrnent sink ~.w~c liJoctor
Shower St.lI BllCknow Assembly <-
Sink. llacktlOw Assemhly test
Bat Smk Lawn Srrillk.ler
I Water n","l (Toilet) OU,.r
FEE SCRT.nllLE
Industrial. Comme<cial &. !V1ulti.farr1Ily 1% urjuu .,;ost with A $3".50 minimum Kt'!"irlcnU8l. N~ Om: &. Two-PlIrnily S99.50
RO(lhienlial, Additions II. Altt:lllLiuus SJ9.50
Esti",.",dCo,t $ QCD.ctJ B"ilrlin~ P..."it# 0<1--. 0& <::'7
PLUMIJLNG PERMIT FEI! $ 40 ,OD
STATE Sl.1RCHARGE $ .50
TOTAL PERMIT FE!!: $ <-J (). SLL
toma: tbc Dilly)
Bull~i1!.lIUlllrllll
DAle
'31<11-0. 6TI
Dolb .z..'i, d f-
1\...'no.11.).-33
By t;-
O
This Appli'OllltiOG Be4:omts Yon.. RuihJillg Permit Wh<ln Approved
14 bonr noUce rv.. 1111 lU:l'ipcttlonf (962) 44' 9150., rS;t O~s.:l) 447.....2A!'i
16100 EAGle C,uk A.ve., S,l.., 'Pl1nr Lake, 'MN S3''11.171'"
TOTAL P.01
OA TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
<;? - dO -0 <./
I
ADDRESS
26/2
e" au c; /l/C.. P8TH'
OWNER
CONTR.
PHONE NO.
PERMIT NO.
cf- . {,57
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)!fFINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI 0 EXIGRADlFILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
( A 0 MECHFINAL ~ 0
( '5{duJ)J ili~~
t
1\ A(-L
Iii U'" \ ~
V 1- . \.../
rl
~RKSATISFACTORy.PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~~ALL FOR REINSPECTION BEFORE COVERING
Inspector. -<'iA)-., Owner/Contr.
I I
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
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