HomeMy WebLinkAboutPlg Permit 04-0567
mH37-2004 00= 34
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CITY CF PR I CR I...AKE
9524474245 P.01/01
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
'DIlle '11"
2'" C\,
3 v..... /, "
PERM1TNO.04_ 5t:,f
(Pleue ~ t' DrillUaeJ sI.. at./ ".,)
ADDRESS I
.)()6Q
ZONING (...,.-.)
~ d ne t41Ue-..
(j
LEGAL DES<:R.o. ..oN (.ollIa... oalil , n I c- /I >7J-
LOl' Z/ BLOCK I AOOmof\t ~cf ~
, l '
lIS n d
prob? 5~ 399-00L("y
(Contact Person)
f'fP!
'~I\J Ed~e L-A
~
~ IV 41-)(5 fJ1 Co- (Phone)
6.5J6 vflh4//t:I Dr- rpJdr
(~ddles$) (City)
,C; Te 1~ c. /( 1/ Y T ? (phone) -fd j I
~re.. XJ- DA1B
! ~ '
APfLICANT PLEASE COMPLa.lJ!., BELOW
. Type o'\Fat1In QuJdity
Bath T lib with or wifhPut shower Rou~.U1s
Dishwasher Watet Heat<<
floor Drain W.. SoflDer
Lal",J. ,/ ~throom Sink) . StAUld Plpe (WashiuaMacbine)
Laundry Tr4Y (I or 2 ~mpartment sink Sew8Fs ~,E;~ =-blv,
Shower Sta.r't Saclclo1'Y~. 'J
Sinles Bac:Jcflo\v AssemblY Test
Bar Sink I Lawn IsPriftltler P V..6
_ Water Closet (Toilet) . Other
(f,..eq
,
<:D ~6 ~
(*boDe)
I
1h"2 - :2.)..6 -6/~1
OWNER
(Name)
(Acl~ .....)
APPUCANT
(Name)
(Address)
'} 6 ") - <t I 3 - I iil
Ih tJ~~ (JJI
--.. .- .
(Zip Code)
612 -}Id- WJ
6 - <i -6 t/
f~CANTSIGNATUlU~
. Q.atity
Type ofFimln
J'lU. ~J:I.I!,.IIIUU:
Industrial. Commm:ial.l Mold- ramlly 1% oiJob cost with a $]9.50 minimum
RClidemial. J1ew One a:. Two-Pamily '99.50
Rcsidentiel. ~idons . AlaenaOl1l $39-'0
, .A", J'l ~
EstlE 1_ COSt S -",,"I) f/ Bui1c1inS Permit .,.
~UM8lNG PERMIT fEE S .3 q ..8.-'.
:ATE SURCHARGe s .so
TAL PERMIT ~ &..I\. S '-/.fl. bO
CftfIIu UR o.IJ)
~PPltctl1ioD Becomes y.I)OJ' ..IIeI", p_it "'beD A.,~, I I .11
811I'''' om..
o.f4I
Paid /' /6 -r-,
~c., I
Date
-0 - q-()L{
Receipt ijo. C &,
t..I /-, /1 ,C} l)
By - , ,
'"
Q'
2~ ...... ..dce r.r .ulnspecdMs (IS%) "7."'11II: ("Z) M1~
1'" .. Creek Ave., SoL Prior Like, MN 5537),(714
TOTFL P.Ol
cr'Y OF PRIOR LAKE
INi'iPECTION NOTICE
A[ IDRESS
SOb?
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o ~lTE INSPECTION
'" Z-'l/' TillE
SCHEDULED ~'
/Lt.,.ka ~
<./ ~/7
CONTR. ..:::> 1.0
-s/-~~
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
~EWER HOOKUP
~ ~LUMBING FINAL
o MECH FINAL
Cl)~EN~2/ /7, /
~ ~G-' A~~
~ ~ ~~~__~It:J~
~
~"~re-- ?4~~
LL// Y~/hc;;' 7..z.o
,
o EXfGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
/7
~
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~ ? /
/7~,,'S/, * k /,.l;-
4~-e 4/d,<"C-.r~ 4 cI
(/ /
vt'c
./
.It WORK SATISFACTORY, PROCEED
~d CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~$fZ
Ins :lector.
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 110URS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOn