HomeMy WebLinkAboutPlg Pemrit 01-0469
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: R.ot~- Re>e>te.r Sell'lI~'CGS CoD Phone: 7/93-544 - ?5"~'
A~dress: /4 5 3~ ~I+t... Av-e. rJo ~~p~14tk. " Vl1lJ 55'/'17
Signature: ~ ~ () T. WM1-Ahi" 2"CfS m
Legal Description: Lot 'Y Block I Sub K /Jo b f-ti (( ~
Site Address: 14Z.q~ ~ BLj,.J T/I'.cdl NE
Building Permit # PID # ph /~t, ~- Ot!)d--D
NOTE: This permit will not be processed without complete information.
L Blue Fh
2. Gold City
3. Yellow Applk
# {I)J - t/IoCj
Th~ Center of the Lake Country
FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
-k rll"ess. II (lLc!.V-v..,",," Bv<ec..bev '-fo.-- 'll/'jI':~i,~,
-K I
#
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1% of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
GRAND TOTAL
$
$
$ 3~,5"O
$ .50
$ 4t:?, 00
$99.50
$39.50
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State .P\umbing Code and the ame dments t ereof.
:39 (."O~ RECEIPT NO. DATE
, ~ ATIEST
Call for all inspections U hours in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
.ouR LAKE
,ION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
cLV\1\t.:J1J!
,-- , -
DATE TIME
SCHEDULED /-;;2 g.a3
ILI;?-,?? ~6id~
CONTR.
PERMIT NO.
I"" LIlY 9
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~~/
f .
IJ ;~ ~~(..L<..
......
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... ...........,
~ ,ORK SATISFACTORY, PROCEED
VCORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFrRE COVERING
Inspector: ~Nt- \{ '1, ~9;~o~:t
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl