HomeMy WebLinkAboutPlg Permit 01-1172
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
I. Blue File I PERMIT NO I
i ~~~w ~~~Iicant "011~/r;J-
11.., zzJ;, n {' G (office use)
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(Please type or print and si~ at bV"Vll')
ADDRESS
\ 632 3 ~\~J Y\C('{'..
LEGAL DESCRIPTION (office use only)
LOTio BLOCK ~ ADDITIONtU~ 5Ll\
OWNER
(Name)
iV\ (4r )/\ (it\ cA ~
C,CY\IS tW1)tL t; C7 (\
(Phone)
['( _ ~ fV~?f-e- \JJ C^ 1ey-
~2 ~ -rl.-i (~\Je.
(Address)
(Contact Person) Dc, U(' VVt ()(',y~
APPLICANT SIGNA~URE 4t? //~-,
(/
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
(Address)
APPLICAN1\ (\ _~
(Name) ~ V Ice'
(Address) _ ( ('),':r~( f)
Quantity
PID,Qi)-"37c)- ()/c:;- ()
(Phone) ~qsz.- Yl1 ~).- (), ~"$'
O? n"~~ -7CJ-\ 0 J 3 '7 I
(City) (Zip Code)
(Phone) 7c'.~ 2~ & OlY 6-
DATE ~C) iA GI
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
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 Permit #
c3q~sV
.50
t-/O ,CJU
Paid 40 00
Date J
Jf)-If< --0
,
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Building Official
Date
Receipt No. ,_'"I :2
qlYJ~
B .
Y&l ../
fJ
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHED~,ED
'2 -/5-02- I 15
ADDRESS
/5 37 ~ 6/q HO,e;J FrJSJ
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1-1/72-
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 EXlGRADfFlLLING
o COMPLAINT
o FIREPLACE RI
r1jo FIREPLACE FINAL
GASLlNE AIR TST
-4:J::L/J Sf) Pr.
COMMENTS:
~Se- ~")e-
~ SATISFACTORY, PROCEED
o CORRECT ACTION .ND PROCEED
o CORREC~lC 'LL FOR REINSPECTION BEFORE COVERING
Inspector: .1:'::>... ~ OwnerJContr:
(!A,I,-'..; 447.'8~O FC;>R THtEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI