HomeMy WebLinkAboutPlg Permit 04-0082
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
z.../ '1 . 1;4--
CPJe.!.se type or print and si2n at L." .".,.,)
ADDRESS
4/ 33 Coachman
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 01-05
File
City
, Applicant
PERMIT NO.OJ/-. 00 9 i..
I .
ZONING (office use)
\
Ltlrz&. Ne.
LEG~ESCRu- nON (office use only) ~ ' ~..
1 1/- -.......--
LOT BLOCK ADDITION ~ :;;7
~
PID 2,~. 'J..I+. 05l. . 0
OWNER
(Name)
(Address)
(fAn thia f5Lli1Jer f)
41 ~o Coaehmtln. U1f7e
(Phone) (qf{fL) 440-65/.;[,
Nt
~;;~~ANT Norl?IOYn Piutnbin~ (phone) (lI~) 81Jl''1D,?3
(Address) 2AOS f:;u)ffiad Av'-t-. ED. ,rYJ,OlS. 6f;LfOY
(Address) (Citf) (Zip Code)
(Contact Person) ~U (Phone) ( U /-z,,) ~'b7" L{ 0" 3
rl'PLlCANTSIGNA~ ~ DATE '4/6/Ol<(
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity I Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall I Backflow Assembly
Sinks flow Assembly Test
Bar Sink REQUEST FOR FINAL Sprinkler
Water Closet (Toilet) INSPECTION SENT TO
HOMEOWNER 01-06
Industrial, Commercial & Multi,family 1% of job
......, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
Building Pennit # 04-. C08z..
.::fl. '6!
.50
LIO.~
Estimated Cost $
(Office Use Only)
~hiS Application Becomes Your Building Permit When Approved
I
Building Official
Date
paid4-C.OO
Date
Z .J,. IJ 4--
ReceiP~ Z5Z
By :fP
14 hour notice for all inspections (951) 447-9850, fax (951) 447-4145
16100 Eagle ereekAve., S.E., Prior Lake, MN 55372-1714
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
'''H~ s
Q~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE
I~
TIME
c.t - az..
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
J~~
() , 8:'00 11 v.{ - ~,''fS-/
V a..ol 'fC~.... l.(41- Cf~5~
~RK ;ATISFACTORV, ~:OCEED -
o CORRECT ACTION AND PROCEED
o CORr~T RK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto Owner/Contr:
CAL 447~850 F~R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!