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HomeMy WebLinkAboutPlg Permit 04-0330 c.. i OF PRIOR LAKE PLUMBING PERMIT Date Re('d 4, ~(P.~ ~::= ~~ I PERMIT NO. rIA ().' '2'2" 3. Yellow AppIicat vr . ~ (Please ~ or orint Ulc:I BiItn at bottom) 'I! ADDRESS .1 I&~Z 7 l//t-rtJIf(A ~ij ~ ZONING (office use) . LEGAL DESCRu liON (office usel~nly) Wf0 BLOCK-; ADDm1N ;j)Q~ a.i I?, o/r./ t.J7Y'-" PID Z>3 2.Z-oli(o . I - ~=~Lr?r-r ~~he~ (Phone) tJr;z. 22& 3/;, C> (Address) .f1t, -:z, 1-1 l/1 e 1CJ'rt' /,,::f. C.,., !I APPUCANT.-- .t r (Name) ':::7 ~ - . rp1 M1/V1 D,tt? t^9 (Address) -1l.t? ~Z-7 tJ I C. ~ ( 4. r ~ (Addr+) (Contact Person) 0?~~ ~ (Phone) 1.;-z. z. z. ~ ~ f!licAe I.IC... (Gty) '~/c. c) ~SS7Z- (Zip Code) (Phone) -2'~ (' APPUCANI'SIGNATURE ~t::~' I54.-LI_ DATE IIAPPUCANT PLEM1'!COMPLETE BELOW Quantity ~ of Fixture . Quantity Type ofFhture Bath Tub with orifithout shower Rough-ins Dishwasher . Water Heater Floor Drain Water Softner Lavatory (Bat:bropm Sink) Stand Pipe (Washing Machine) Laundry Tray (1 ~r 2 compartment sink Se~e Ejector Shower Stall 'i Bacld10w Assembly Sinks Bacldlow Assembly Test Bar Sink f Lawn Sprinkler Water Closet (To~et) Other lCl!.l!.SCHEDULE Industrial, C"......~.":al & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family 599.50 Residential, Additions & Alterations $39.50 Estima~iCost $ BuildingPermit# ~. 0 -:r~O i PLUMBING PERMIT FEE $ 39, s-v STATE SURCHARGE $ .~O TOTAL PERMIT FEE $ ~ , Q'O (OIIlce UIIe Only) This Application ~mes Your functing Permit When Approved (' ...... 0IIld8l Date . Paid 4-orlO Date ';f. z(,. ()4-- ~.;&;~ / 24 hour Dotice for all i." i .. :.DDS (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714 I " DATE TIME /t?/* /6~5,27 t/fclor,'a- Curf./-Q.. CITY OF PRIOR LAKE INSPECTION NonCE ADDRESS OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTIQN COM~.fNT$. :... /)., ~~~#c- -L,~~ SCHEDULED CONTR. PERMIT NO. o PLUMBING RI . [] MECH RI [] WATER HOOKUP [] SEWER HOOKUP .,..2"P[:OMBING FINAL [] MECH FINAL "~..s s t:) o EXIGRADlFILUNG [] COMPLAINT [] FIREPLACE RI [] FIREPLACE FINAL [] GASLlNE AIR TST [] "" I /1 ~~U~_ /"<-JJ./' d6y- ~, , ~ - .-.."7 .'-, / C;; ~ / r (:J ""'- -' ./J...... _,,_/ /t/{//< tl!///AhS ~S LF /0.20 7.20 ~ ~- . /'/ LJ LJ 'f!!> ~ vs * ~ tI' T Y~~(r.,L /..-.4 /: -~~."'~. / A,'/aL~. ~~/.J,.~/~~ A~ez-<f ~ / c;/- ~RK SATI~FACTORY, PROCEED o CORRECT ACTION AND PROCEED [] CORRECT WORK, CA}~ REINSPECTION BEFORE COVERING Inspector: ~ f-" Owner/Contr: , CALL 44'-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI Il'ISNOTl