HomeMy WebLinkAboutPlg Permit 04-0641
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT RK, ALL FOR REINSPECTION BEFORE COVERING
.>.1-- ...... Owner/Contr:
CALL -985 (,FOR THE N T INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIJMENTS
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS "30SQ
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
Inspector:
DATE TIME
SCHEDULED 7 -8-01
~~ c~-
CONTR.
PERMIT NO.
~ - ~41
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~ASLlNE MR TSr 1_'
)"l_l ,-1'-"--'- ~tlh ~~
FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTJ
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec' d
&.~)~o~
~~;~~A~~ Vro V\Q~~~ (Phone) q7J~. 4lo~' l61c[~
(Address) 61'-\ ,l\q +\\Q\\'\\'~u0 ~~ ~~\ ,; ",f)~ M~ ~OqIJ
.. JAddres~ (City) - (Zip Code)
~\.~1l(\C\\( _ (phone) qSJ.4~~ - (o'lqq
.PPLICANTSIGNATURE ~........~~~Q_ DATE &-~I-()4-
APPLICANT ~SE CO~ETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compallment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
(Please type or print and sign at bottom)
ADDRESS
Coco ~ ..-\Q~ ~-\ .
LEGAL DESCRIPTION (office use only)
LOT 9 BLOCK / ADDITION /VtJ/CTH"l1/da &> 6j11C-r
OWNE~\ (! _ ~ >
(Name) ~~ \.:4.~\.U \ Y\
(Address)?oSO ~ ~~ (\ +.
(Contact Person)
Quantity
FEE SCHEDULE
Industrial, Commercial & Multi-family I % of job cost with a $39.50 minimum
~. ~~ ~:~ PERMIT NO. A A-.. 0 I +/
3. Yellow Applicant U.., (p
ZONING (office use)
J~
PID z.r: ;?7/. 009. ()
(Phone)
qS~ -L/4D- (q~l
Type of Fixture
\
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly I
Backflow Assembly Test tr
Lawn Sprinkler - V DL~ '6rl
Other
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Building Permit # 04-" a ~ 1'1
Pai~ ,lGtJ
. Date~. 23..0 1-
Estimated Cost $
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTALPERMll FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
'?J'? SO
.50
~{J
Receipt NO.1f1L ~(p
By j.
()--
24 bour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714