HomeMy WebLinkAboutPlumbing Permit 04-0425
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CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
(flease'!yp! or orint and siD at bottom)
ADDRESS
337/
t5/1 t..SA M
sTsW
LEGAL DESCRIPTION (ollice use only)
LOT 5 BLOCK 3 ADDITION SUNs6T ITfu..5
OWNER
(Name)
(Address)
APPLICANT
(Name)
,
fLUes, J:::.6VIN ~ /YtW/J
.s I'i 1'16
(Address)
(Contact Person) S"iM&
;- \PPLICANTSIGNATURE hut hi ~il /J
(Address)
I. Blue Filel I PERMIT NO d:)f
2. Gold Chy '1)//.--/ / ,
3. Yellow Applicw Y' (..( I
. ZONING (office=)
te,.ISO
PID 25.172.. OZ.z..l
(phone)
(Phone) a;1..(p - d4~
(City) (Zip Code)
(Phone)
DATE
5- J~-oL)
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compamnent sink Sewage Eiector
Shower Stall Backflow. Assembly
I Sinks Backflow Assembly Test
I Bar Sink V I Lawn Sprinkler
I Water Closet (Toilet) I 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
Estimated Cost $
Building Pennit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Offi.e Use Only)
r-' This Application Becomes Your Building Permit When Approved
Building Official
Date
J
.39,50
.50
4*tJ . 00
Paid I.('(j.. _
Date 5 -1:1- - 'i
ReceiPl7'6 f? ;J. /
By c1
cr-
14 bour notice for all inspeetlons (951) 447-9850, Cn (951) 447-4145
16100 Eagle Creek Ave., S.E., Prior Lake, MN 55371-1714
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE nME
~;:k-
-./37/ &~-9"" S~
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
CJ~ 4/JS-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
C SITE INS....:..... II...,H
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
.,....Iit"PtUMBING FINAL
o MECH FINAL
o EX/GRADlFILLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE ANAL
o GASLlNE AIR TST
o
COMMENJi:. / ry
;5qc,/~ff(LU
~.-..-"-
/~C/~-4r .;6,.-
~/tX< nO~
--r
I
{ry/Z
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
C ~'jifl!!""'~_""~
Inspector. V Owner/Contr.
CALL "7.9850 FOR THE NEXT INSPECTION 201 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETYI
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