HomeMy WebLinkAboutPlg Permit 05-0511
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
~;~?ANT s -)("'"J PI! In l:1 J-/II:;.
(Address) 7~'fs/ /7tJ3- 5'7-. W.
(Address)
(Contact Person) 30)' n /1 / ......--~-
APPLICANT SIGNATURE ~'l1 ~...
/'
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity I
Bath Tub with or without shower I Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
I Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall I Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
(Please type or print and si~ at bottom)
ADDRESS
'i 'I / c; LOo.C ~ Yh 01 f1
JCl~e lYE,
LEGAL DESCRIPTION (office use only)
LOT ~BLOCK ~- ADDlTION
OWNER
(Name)
~Anflrr-
(- Ao/lc.r
,,L}.,,cl{f7tJ
Y 'II 0; {'c>c~<- ~ ""a~ 1 fA /l e
AlE
I (Address)
Quantity
~. ~~~ ~i~ PERMIT NO. A/r_ rll
3. Yellow Applicant U...? ~ J II
ZONING (office use)
1/'/15 tj~31t/-()3~
'"
(Phone) C}S-2 J!9? 7/03
(Phone) _ 95"2 .2J r 9/.22
L~j~t/,I/~ 1J7J1 S-SeJyy
(City) (Zip Code)
(Phone) Cl~;2 ;;<?7 Cj /2 '2
G? - 2~O~
DATE
Type of Fixture
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 $
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Building Permit #
3 C(" 50
.50
1./0 ' ---
Paid I /.
/..-f 0 .-
Dat~_ ;) _ S-
Rectt~17 ~
By
q
d
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
f~
TIME
ADDRESS
441'1 (\,Qc~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
-5 -.$ /1
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
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o ~LINE AIR]ST .
o A~~
COMMENTS:
~RK SATISFACTORY, PROCEED
o CORRECT ION AND PROCEED
o CORREC RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
,CALL 447-98~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
I/IISNOTl