HomeMy WebLinkAboutPlg Permit 03-1306
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
CUUJGAN WATER CONDITIONING
6030 CULLIGAN WAY
(Address) UINNETONKA. MN 55345
(A4dresS)(952~~3-7200 (City) (Zip Code)
(Contact Person) .hf;ttiJ:! (. ~ V il1.S- (Phone) !1Eid-Cf1:}-7~7{J
r'~PLICANTSIGNATu~LiJ.ijj)-lJV) DATE K !;Jbl()~
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (1 01
Shower Stall
Sinks
Bar Sink INSPECTION SENT TO
WaterCloset(Toilc HOMEOWNER 01-05
REQUEST FOR INSPECTION
SENT TO HOMEOWNER.
FER 2004
~ tvDc: or tnint and sUm at l....,.,._l
ADDRESS
. ~ 7;>5 ~ J)urne,ld bsr \ \r;
LEGAL DESCRu-llON (office use only)
LOT BLOCK
ADDmON
~=R~~~
(Address) . J -, ~ I ~YrA\.,p ~ ( \F:
APPLICANT
(Name)
Quantity
REQUEST FOR FINAL
9. z to .03
:: ~~~ PERMIT NO. /1 '? ~f?OI-
low Applicont {):;> I ~ t:7
ZONING (office use)
P1DZS.37z'.050. ()
(Phone) q ':7d - t?-dY ... L/?J-l7
(phone)
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
J:4EES\;l1..I!.DULE
Industrial, Commercial & Multi-family I % of job cost with a $39.50 minimum Residential, New One & Two-Family $99,50
Residential, Additions & Alterations $39.50
Estimated Cost $ AlJO!.2. Building Permit #
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(OfIice Use Only)
( "This Application Becomes Your Building Permit When Approved
"
Building omclal
Date
$ ~C1 y '=:> 0
$ . .50
$ ~ _00
paid~O. 0 0
D~W.OJ
Receipt N~J ,,~
By f#-
24 hour notice for all inspections (952) 447-9850, fn (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
CITY OF PRIOR LAKE
INSPECTION NOTICE
CA TE TIME
SCHEDULED
Z .11.0l,
ADDRESS
az5 LDe-e-e-fta"o 0(2,
OWNER
CONTR.
PHONE NO,
PERMIT NO.
3 . '30"
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
-sENT S~
IN.&eF,CUUN LEIIERS OlJ'l'
~TED--NO-RESOONSE.
CL
INArnvITY
o WORK SA T1SFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
_ Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
UVSNOTI