HomeMy WebLinkAboutPlg Permit 01-1077
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
9-1,8-01
~. ~~ ~i;y I PERMIT NO. 0/- /0-'7
3 Yellow Applicant f
(Please type or print and silm at bottom)
ADDRESS
/4-07/ I!!OLf..,/!Vq ol7r<: C!Jeet-E NE
LEGAL DESCRIPTION (office use only)
LOT
ADDITION E.l961E ~ O€H3 /Jl'./26S
BLOCK
OWNER '
(Name) _ FJU(1L\O~ ~{)e/;)O/\/ r LA-QuI/A
ZONING (office use)
RJ
PID 25 - O!52,-OJO-()
(Phone) 44-5 - 392... ~
,
APPLICANT I
(Name) Sc..A~/.u /JIIJ,'",\. (Phone) l../'I1-<.,i') <..(
(Address) 11 f De,) ;.J.. d , ; A...-' Ct/ ~ ( \. r k Ie-<. "'"'-
(Address) (City)
(Contact Person) ~e..c ~ <;c J..,.#/c- _ (Phone) V/2'" 7<17- 3 a "3
APPLICANT SIGNATURE ,d",-W...1_ /./ k-- DATE /0- t./-t>1
- - - - - - -
J A;;L~C:N; PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (1 or 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
(Address)
Quantity
~ .;; '"'.> "\ 1-
(Zip Code)
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 $
Building Permit #
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ .39. 50
$
$
.50
~O.Oa.-
(Office Use Only)
Paid 4--~. ()Q
Date
L/J.4-iJ I
f
t:t:.z/~"'O J
Date
/
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Receipt Nj) - 1
9() ftt5
By jitL. #
~-
\..
CITY OF PRIOR LAKE
INSPECT~QN NO'TICE
DATE TIME
SCHEDULED
/~J. ~:X5
~d~~
. CT
1-1077
ADDRESS
IL({) 7/
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI 0 EXIGRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLINE AIR TST
o MECH FINAL 0
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o WORK SATISFACTORY, PRO<;EI;D
o CORRECT ACTION AN~EED
flCORRECT WORK, CrOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-98: ~'THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
INSNOTl