HomeMy WebLinkAboutPlg Permit 01-0207
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01"0207
CII ( OF PRIOR LAKE
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Applicant: 603D r.\" t I~AN WAY PhOne:
A.ddress: WtW~TnNKA. MN 55345
Signature: {R12) 9~.7200
Legal Description: Lot .BIoCk Sub
Site Addre&$; It../'i ;).& Y)-<.J LJ. Tf J .' AleJ<;c':-JI"l (l(){'{'; e 'k.. T~ .{-:{7;J\
Building Permit t! _ 0 / - 0 io 7 PIO It
Nu I c: This... Irmit wit not be pO' . ~ .....sed ~ complete Infonnation.
FIXTURE UNITS
Quantity
Type of FtXlUre
Type of FIxture
Bath Tub with or withOut shoWer
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
BacIdlow kJsMrtJy \"'"" 00dM QlICk. PVB)
8acIdIow AIHmbIy Test
Lawn Sprinkler
Other
DishwaSher
Aoor Drain
laVatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
WatBr Closet (toilet)
FEE SCHEDULE
IndustJia.l. COmmercial & Multi.Family
(1% of job cost. $39.50 minimum)
Residential. New One & Two Family
Residential. Additions & Alterations
State Surcharae
$99.50
- $39.SO
$
$
S 2 ct- S'()
S .50
GRAND IU.AL
$ !:M()()
1011 lIIc exprea coodmocl d1at said
...............,....... snau III' ~ ,~", 1,/ i aU...wr...:.... witb Ihe orcIiJt I' lj..r
oftheSta&a PlUIIlbtDI ".." .". ~".. c1.~...!.
3~/ / 3.2(,.0/ DATE
ATI'!ST
Call for all .
24 boors in advance.
16200 Eagle CreekAv. S.E.. Prior Lake. Minnesota 5S3n I Ph. (612) 447-4230 I FAX (612) 441-4245
AD Equal 0".. v...wty Employer
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS I <..{ 4. "'Z ~
II
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED (12 '"' t7
010 I~ err
CONTR.
PERMIT NO.
L - 2L;7
/
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE ~I~::.\\ ,
O~IR~
e- >
/
,"WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~NORK' CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL ~... FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE.
,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl