HomeMy WebLinkAboutPlg Permit 01-0107
CI,TY OF PRIOR LAKE
1. Blue
2. Gold
3. Yellow
Thf Cfnler of lhf Lakf Country
eLUMBIN~PERMIT PPNo.
Applicant: ~ /(' I ~ ~ /'lPhone: 0...:25..
Address: ~qd -F-~ ~ .
Signature:~a: ...../'\
Legal Description: Lot' ~~j) Sub
Site Address: s:.?l:2......~~., ./~ ~
, - --
Building Permit # PID #
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Rough-ins
Water Heater
)( I Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
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
$99.50
$39.50
$
$
$ ?, i _";-v_
$ .50
GRAND TOTAL
$ -to .(/0
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of tho S"" PI,mb;" Cod, ,"d tho .mtd~'~ th,reof.
$~O~+ R~q~:JIfI\NO. Z- Z-- In\ DATE
(~)~ ATTEST
Call for all inspections 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
DATE TIME
SCHEDULED ~~ 11.'30
~~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
53'7d.-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~O INSULATION
n ; FINAL
~ SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: J-I.." u ~4.c--
M.uf ~ 4~
.
~. /
C~~~
tJ( - () I tJ 7
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
r &.- Pl"ZL~t-)
.
-
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORI~, CALL FOR REINSPECTION BEFORE COVERING
Inspector: P. ~ Owner/Contr:
CALL 447-9850 FOR ~HE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI