HomeMy WebLinkAboutPlumbing Permit 04-0457
Date Rec'd
CITY OF PRIOR LAKE PLUl\.w......\G PERMIT
~EL~. . I PERMIT NO. OLl- C/sl7
1!'Je!!!'~_ormlal_oIm._
I ADDRESS .
~9f~(hNIa;-en f?-/
}; ,
. LEGAL DESCRIPTION (office_only)
wrd, BLOCK d ADDITION 'if o-il1 Sho-u.... ~ ~ PIDd 5" - ;}S9 - O{),y' 0
I I ZONING (oIIke
"')/2 rS D
~=JAsa hhhl-ruuh
62.iY &Yl1ofP 4I//.6C(
(Phone) 6/2-KhI-P.t'l
(Address)
APPLICANT
(Name) I??,-,/~s'? <YY./ne;I"r-. ys~'i ~r (Phone) h'5/-.trl.JY-A%.05
(Address) (/$5' J fi. ~~s ~ ~:?f~, /Jr/Aj ~0::r3
(Address)" (City) (Zip Code)
(Contact Person) ~~ ;I//ipfl1'SCYI (Phone)b!iI-~3J-&t?5
r'
. r APPLlCANrSIGNATURE t2fZ ~
DATE
APPLICANT PLEASE COMPLETE BELOW
-';f- 27-0 ~
Ouant\tv TYDe ofFlDnre
Bath Tub with or without 01.., ,,,..
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundrv Tray (1 or 2 ..~_,-:-....; sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Ountity Type ofFlDnre
RoUld1-ins
Wakr Heater
Water Softner
Stand ~ (Washirut Machine)
Se~e Elector
:ifIR BacIdIow Assembly
Bacldlow AssembIv Test
X Lawn Sllrinkler
Other
FEE 8...n.....ULE
Industrial, Commercial & Multi-filmiIy 1% of job cost with. S39.50 '.. :..: ,,.., Residential, New One & Two-Family $99.50
Resideotial. AdditiOllS & AI_no $39.50
F.Atl~-.I Colt S Rnild;,'S Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $
(0IIh:e u.e Oaly)
This AppIiellllon Becomea Yonr ""1IdhIc p_1t WIIea A,.',. " . 1
r
..._~
~/p~()..5
Do.. DB/:;_/?-Ot/ ByC1_\:
.,' U -')
U';:.,-=-:'A~U.':l.':.~~~r if' ~ ~tt~.,
Paid '10 .--
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIMe
;// /dr-
5.2,pr/ 6},rr,"Q9e- /h// /d
v
CONTR.
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
J!Y/- '/S7
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
"..iH'[.UMBING FINAL
o MECH FINAL
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMME~S: / 1'../
~~40~f10c.<./ /'l ecJ..e#vi7!r-
- -2 ~v"'- ~r;l &:)4 -h bR'\-J
I
/J
r
~
Vlf
~VYORKSATlSFACTORY,PROCEED
o CORRECT ACTION AND PR EED
o CORRECT WORK, F REINSPECTlON BEFORE COVERING
Inspector.
Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
"""""