HomeMy WebLinkAboutPlg Permit 01-0598
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
(Please type or print and silm at bottom)
ADDRESS
/(,374- VI C-TV,e/A WR-V6 6e:-
LEGAL DESCRIPTION (office use only)
,
l. Blue File PERMIT NO. J- SY.xY
2. Gold City
J. Yellow Applicant
ZONING (office use)
PVD
LOT3 BLOCK 3 ADDITION tA.eo/lV~t.- ,IGIIJG~ .5711
PID 25-3.35-023-0
S~Me; _ n (Phone)
~/1UW~
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APPLICANT PLEASE COMPLETE BELOW
Type of Fixture I Quantity
Bath Tub with or without shower I
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
I Shower Stall
I Sinks
Bar Sink
Water Closet (Toilet)
OWNER
(Name)
6BNt; u:1~ON
(Address)
~~;;~~ANT tfWA/G L,A,esON
(Address) /61374- V/~v~/j (J,U/2-(/5
(Address)
(Contact Person)
Quantity
. (Phone) 9 fi" ~ ,;l::J b-lo ~.1
(Phone)
"Rt.-.
(City)
(Zip Code)
-
~~ /b'-() I
Type of Fixture
Rough-ins
I Water Heater
I Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
I Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
I Other
FEE SCHEDULE
Industrial, Commercial & Multi-family I % 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 $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
39.50
.50
4--0.00
Paid LIb .00
Date~/I S7() /
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24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Building Official
Date
Receipt N.:B 70 }
By Ci6J- ~
u
ADDRESS
/&3'7'1
DATE TIME
SCHEDULED ~/LY./a f / ( : sC
/~>+. 6.!Lr
CITY Of PRIOR LAKE
!NSPECTlON NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
t:JI - ~9 J'
o FOOTING
o FOUNDATION
o FRAMING @
o INSULATION
lK FINAL
o SITE INSPEC N
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
r-
COMMENTS: d~ ~
r. ~~7~ jl~
'--~,----- r-
lQ"
){ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK'J~LL FOR REINSPECTION BEFORE COVERING
Inspector: ~. Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl