HomeMy WebLinkAboutPlg Permit 01-0850
Date Rec'd
CITY O:F. PRIOR LAKE PLUMBING PERMII
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~: ~~ ~!~ I PERMIT NO. 1r\1.~~... 'l\
3. Yellow Applicant c..::J ,. V U
ZONING ( use)
Pup
LEGAL DESCRIPTION (office use only)
OWNER
(Name)
(Address)
M' ~t. t-
oS3 l. '1
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(ADDITION (L)d~
l)ee.c.roPt-
DV\C.t Dr
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PID ~3a7-6(jJ-/)
LOT;).! BLOCK
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(Phone)
APPLICAN&
(Name) 'r>rL
(Phone)
(Address)
(Address)
(City)
(Zip Code)
(Contact Person) /1
APPLICANT SIGNATURE JI' UtI
/
/!J~___
(Phone) 'hj''/\ I
DATE ~ kJ u
Quantity
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)
Type of Fixture
l
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 $
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid 1-/0 ,eo
Date -g/ll/O)
Receipt~a~
By ~
V
24 hour notice for all inspections (952) 447-9850, fax (952) 4474245
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDU~D
DATE TIME
I" ~O -02...- i;/~""
ADDRESS
332-4-
...
WOOD OUCf:::-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
COMMENTS:
-1!f /// ~,
/
/ - gs;o
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
: 1;;_:PT.
~RK SATISFACTORY, PROCEED
o CORRECT ACTIO~ AND PROCEED
o CORRE~K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: '3-J..... t.!1..J.M Owner/Contr:
CALL 447-9850 FOR TJE NEXT INSPECTION 24 HOURS IN ADVANCE,
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!