HomeMy WebLinkAboutPlg Permit 05-0776
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Date Re~'d
CITY OF PRIOR LAKE PLUMBING PERMIT
kM8E1<. LF / P-l1ft- NW
~,= ~~ I PERMIT NO. 05 .OI7,~ I
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I ZONING"......, l
LEGAL DESCRIPTION (aftia: lI$C only)
LOT BLOCK
ADDITION
PloZS. 3a3. OlO. ()
OWNER L
(Name) MA-7T E- TOtJ/UJE./JrU (phone) 152- Wr;- 5 333-
(AddttssIRAIL IJW fJR.IOR. W /VlN 55372
APPLICANT A If -r
(Name) cCfrIt-SAfl-1 IVIECHA-N/C1tL- ....J-NC. (Pbo~) 9.~2-75g- 7000
(Address) t1Cf 'w. MItIlJ St. S()'Tc D ,NEW ~(jE, MI\I 5607/
(Address) << (City) (Zip Code)
(Contact Person)
(Phone)
APPLICANT SIGNATURE
DATE
Qundty Type of Fb,ture Quantity Type of Fixtut.
Bath Tub with or without shower Rough- ins
Dishwasher Wafl:r Heater
floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (I or 2 compartment sink Sewage EjectOr
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink ( Lawn Spnnkter .
Water Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial. Comme(Clal '" Mulli-family 1% of job cost with:1 $39,50 minimum Residential. Now Ono &. Two-Family $99,SO
Rosidentia.l. Additions &; AltCll'8.tions S39.S0
Estimated CO&t S
Buildin& Penn it #
PLUMBING PERMIT fEE $
STATE SURCHARGE $
TOTAL PEJnflT FEE S
3'1.50
.so
Lfo, 00
comce Ule o.ly)
This AppliealtoD Becom" Your B-.ildiq Permit Wbtn Appro\lcd
lIulldlnn. Oftltla.
DlIff
Paid 4-0. 0 0
ate 8.12. &5
,kcccipt Noo498fcZ-
y
14 bOllr notice ror all i".pecli..ns (95%) 447.9850. fa.. (952) 447-.t%45
162to Eape Crull. Ave., S.[_, 'Prior ub.. MN 553'n.1714
TOTAL P. 131
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS J<f8 cf ~.
OWNER
DATE
I~
t..UO tf'
SCHEDULED
~1A ~J.
j
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
TIME
5"... 6 ?7t
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
E,..GA~LINE AIR TST
^ I t'tl\~l~
a
~RK SATISFACTORY. PROCEED
o CORRECT I N AND PROCEED
o CORRE W K, CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl