HomeMy WebLinkAboutPlg Permit 01-0725
Date Rec'd
.
CITY OF PRIOR LAKE PLUMBING PERMIT 7"
1. Blue File
2, Gold City
), Yellow Applicant
(Please tvDe or orint and sil!D at b" .."~)
ADDRESS
/tP59~ te/I/'1Se: V /lVe s W
LEGAL DESCRll'nON (office use only)
LOT
BLOCK
ADDITION
PID 2...'5 .094" ()30 ' z.
OWNER
(Name)
(Address)
(Phone)
~PPLICANT /l /J I -.1
'(Name) ttl.~ / (L <-nr,:S7t!!/fse", ~PhOne) -1sd-. - 'It{. 7- 37/0
(Address) Shl16
(Address) (City) (Zip Code)
(Contact Person) /J / J /f --:; ,,,,,Phone)
APPLICANTSIGNATU~ 13. ~ DA~ 7//7/01
, "
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
/
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backtlow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEESLJ:1~DULE
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
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit # 0/- 7~
.311.50
. . .50
4-0.00
$
$
$
Estimated Cost $
(Office Use Only)
Becomes Your Building Permit When Approved
,. f1 r 0 I
Date
Paid 4IJ. tJ7)
Dat7. /1.(J /
ReceiPt;o,# / 3~
B~
~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
DATE TIME
?5/ ~-ol 115
N~ f1v
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~S-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDUt\ED
'rr.. '
ADDRESS
/~ S-q,
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
~PLUMBING FINAL
o MECH FINAL
COMME~TS: 70 I' I~ +-
(PfJM-fL)
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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~RK SATISFACTORY, PROCEED
o CORREC C ION AND PROCEED
o COR CT R REINSPECTION BEFORE COVERING
Owner/Contr:
//' -
C 4A 985D-f'6R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl