HomeMy WebLinkAboutPlg Permit 01-0232
CITY OF PRIOR LAKE
Applicant, n~NG PERMIT
Address: / ~ 7YcJ PI". . ~
Signature: ~~.AtL_c{" / ~-/'.
Legal Descripti~n: Lot 4- I Bk;c~,1
Site Address: 1~;;z,'11 b" r",u ~
Building Permit # PID #..25" 04-5"" ()oS ""<2.....
NOTE: This permit will not be processed without complete information.
1. Blue
2. Gold
3. Yellow
File
City
Applicant
PP No. 0 , ....0 'L3Z-
Phone: ~ '..;< - 7-'JJ ~ s?.:::>cJ
Th. C.nt.. of th. Lok. Country
Sub_
FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
Dishwasher
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$ 31.50
$
$
$ .50
GRAND TOTAL
$ 4-0.00
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing C n the amendments thereof.
393~R 3.z,1"O! DATE
ATfEST
Call for all ins ections 24 hours in advance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372 / Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
CITY QF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 142.71 1)() ve ae
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: uJtJ.+er S,*-+€N\ev--
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
>
{ .hRK SATISFACTORY, PROCEEO
<~ 0 CORRECT ACTIO~ AND PROCEED
r-'>: 0 CORRE~R~, :ALL FOR REINSPECTION BEFORE COVERING
Inspector: \:=J ~ lO J..).IJ Owner/Contr:
CALL-447-98S: FOR THl NEXT INSPECTION 24 HOURS IN ADVANCE.
\,
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI