HomeMy WebLinkAboutPlg Permit 01-0569
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CITY OF PRIOR LAKE PLUMBING PERMIT
Date Ret'd
. (Please tVlll or ntiztt III !!In It bOltCm\
ADDRESS
y /51 Z I F/slI fo,~ f "b
I. 8uI 'iill
2, o"lf City
J. V.llaw AppIi....'
~ '1;~P!
, D5~q I
/
ZONING Collice use)
1
I LEGAL OEscRiI rION (ol'lice 11M only)
1.01' BLOC}!, ADDITION
PID
Y OWNER I? i .L
'\ (Name) 1\ eM' f1 e7(:O
(Address) ISJ ~J F,sK ?Ol~ f ~)
'APPLICA.~'b' J.?J'" I y
/~ \."ame:1 ~t<l!,c.e N~/s()A/ II/MD/~1 ~1ft!AJ"'11. (Phon~\ 65/- 7'3,~'1s.s:1-
X (AddreS$) lZiZ SO. ~/,JI /)ov~/"f eA
(Addres$) / (City) (Zip Code)
/~. (Contact Penon) , ~.41'~/~,,1:. _ (Phone) 7:iV-11S"~
X,APPLlCANTSICiIATtJRE ___ DATE _ 6/";()/
_ '(Phone)
Quantity
,
Type of Fi:xture
BI; th Tub with or without shower
C;. ihwashcr
, FI; lor Drain
L L ; (atory (Bathroom Sink)
r i JOdry Tray (lor 2 compartment sink
S ; )Wer Stall
S : ks
a;: Sink
I~! Iter Closet (Toilet)
i
I t ~
APPLICANT PLEASE COMPLETE BELOW
Quantity
Type of Fixture
REQUEST FOR INSPECTION
SENT TO HOMEOWNER 2/03.
- - NO RESPONSE. CLOSE FILE
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Assembly
As~embly Test
inkier
L
I
,
- -- - .-
Industrial, Commcl!: II '" Multi-famil)' I % of jOb cost witl1 a $~9,50 minimu!'l
00
Estimated CostS 2 ()OO
R~sidcntill, New One & Two.famil)' $99,'0
Re~idcntial. Additioll$ &. Alterations $39.50
Building Permit #
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
comtt US!! OnlYl I
This APplic:.ation! lccomes Your Bulldinl Pemait When Approved
$ 3'1. so
$ ,50
S <f-'O .00
'..j "0
. ~ 10 led /{eM ,7 Lft)
'. cO
4?PlY/~i fOR LiC"""'6 Z.>
~
Buiidiii. oj i till
,.
Datt
Paid 4'0; 0 0
tzt~7. 6/
I Receipt No. ~ 92-
I AltL--J o::l7~
I By
I
r
14 hour notiee ror .11 inspectloDs (952) 447.985fl, fax (952) 447-4:'.45