HomeMy WebLinkAboutPlg Permit 01-0914
;.
Date Rec'd
Lll { OF PRIOR LAKE PLUMBING PERMIT
(PIcuc ~ or.riDe..... d.....)
; ADDRESS \ to \~" <c... \J Qns10n
~:: ~~ I r ''''~~II T NO.(} h,
), v... ~I
Z
, LEGAL DESCllu ... ...ON (oIIce \Me 0111,)
Ib IMJAOi- ~17 I/)'
LOT BLdCx! ADOmON
s drno/06
PID.;b" -(XJ !-y?-:; -0
OWNER.
(Na.me)
(Phone)
(Address)
! APPLICANT
I (Name)
\
(AddreS3) ~~OO
SctYlYQY V~~)'~ cr5'd-. - 4~1- ~ 13y
~dr(Qn C-\\c..\Q.. SL Pri"o\ LQ.k. 553-12.
(Adclnss) (City) (Zip Code)
(Contact Person) 3'a..~ 'Sc.hzrQ..\ (Phone) to \ L. - <<4,,.. 3a~ ~
! APPLICANTSIONATUllE ,~ ~ DATE ~ l""2..010\"
APPLICANT PLEASE COMPLETE BELOW
Type 01 Fbture Quality
Ba,h Tub with Or without shower ".
Dilhwuher ^ (\ \J
Floor Drain \ \ \ r~
LavatOry (Bathroom Sink) \J- I -
Laundry Tray (lor 2 compartment sink ~\V'
Shower Sulf f" "
Sinks "\
Bar Sink
Water Clo.. (Toild)
Quandt)'
Type or FiJ:ture
ROUllh4 ins
Water Heater
Water" Softfter
Stand Pipe (Washin~ Machine)
Sewage ~jeCtor -
Backtlow Assembly
Backtlow Assembly Test
Lawn SDrinkler '
Other .
"
FEE S",.u.DULE
Ir'tdustrial. Commercial It Multi.family 1% of job COil with a 539::;::'0 minimu Residential, New One 8L Two-Family
Residential. AddiCions 4: Alccrations
EJlima-.:t C~ $ Bl.lilding Penn it if
PLUM8~ERMlTFEE S 3q,.S-O
STATE CHAllGE S .50
TOT PERMIT RE S (It) . au
$91UO
139.'0
(omu Un Only)
This App'h:atlo.. Becomes YOIIF BUild"'1 Parmit W..... App.-ow.d
BuUdl.. Olllet.1
u..
I Paid l!~" 00
Due R ';;. 3 -01
Re~cipl N04lt?3fb
By aJ/
u
2. boar .udal tor .0 ,........ CJ52) ..,...... rall (951) "'4%'5
CIT'fOF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
1~/;Cj
,
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE
SCHEDULED ~t<G~
P~.~
TIME
A:..V7
CONTR.
PERMIT NO.
~/-9/Y
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
X PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~~ - Owner/Contr:
CALL 447-:SZ:0R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl