HomeMy WebLinkAboutPlumbing Permit 03-1067
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~_Iz.- -(}J
I. Blue File
2. Gold City
3. Yellow Applicant
I PERMIT N0l13-/0(, 7 I
q'lease ~ or orint and sim at bottom)
ADDRESS 55 50 ~ ?oud:o Ct.
ZONING (office...)
. LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 'Z5 _ 335. Ork . ()
OWNER
(Name)
(Address)
Tv;f-l'Wl f\V\\.-\&N\.
SOJ'Y\J
Pv ~ Ov
(Phone)
lcU6,
q 5d- ~;}Io-Il a-I
VV\U 663ld
APPLICANT
(Name)
(Address)
\~ \E-(')bf'
f\\Jt 6~)
Quantity
Type of Fixture
,
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit # t13 - /0(; I
~,fX)
.50
40.00
$
$
$
Estimated Cost $
(Office Use Only)
r1'his Application Becomes Your Building Permit When Approved
Building Official
Date
I paid~. oV
I Datft.IZ-.Cl)
ReceiPtJl52-~1
By ~_
U
14 hour notice for all inspections (951) 447-9850. fax (951) 447-4145
ADDRESS
OWNER
SS-so
~-
d~~(I/~ Ie c-l-
, /
CONTR.
l1IlE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
PHONE NO.
PERMIT NO.
...1d3 - /t)6 '7
D FOOTING
D FOUNDATION
D FRAMING
D INSULATION
D FINAL
D SITE INSPECTION
D PLUMBING RI
D MECH RI
D WATER HOOKUP
D SEWER HOOKUP
~LUMBING FINAL
D MECH FINAL
D EXlGRADlFILLING
D COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
D GASUNE AIR TST
D
COMMEN't8} r /V' /J /
/~I': k T7.t4.1 rrt!V ("L. /l"r
...
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n
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{:Pr~
rRK SATISFACTORY, PROCEED
D CORRECT ACTION AND PROCEED
D CORRECT WO~~~INSPECTlON BEFORE COVERING
Inspector: ~ ~ OwnerlConlr:
CALL "7-8850 FOR THE NEXT INSPECTION U HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
IN$NOTI