HomeMy WebLinkAboutPlg Permit 04-0864
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I. Blue File
2. Gold City
3. Yellow Applicant
PERMIT NO. OLf ""g 1041
.<'lease type or print and sian at bottom}
ADDRESS
} [P{P35 WiLLoW L1li1e Svv
ZONING (office use)
LEGAL DESCRu:' nON (office use only) ~
Lol1;?oCK l ADDITION ~
'fA
{;
YUVj'6'"'dllg- OOI-~
(Phone) (Cf52,) LfLf7"'07ol
OWNER
(Name)
PCLulCl EVA ~
112I.p?JS WUJDVV UU1~
svv
(Address)
~:~~~ANT No r!?L 0YY1 PLWrVtJUl~
(Address)
(Phone) .f (P/~) ~7' L1:0?;>3
~t{ OS CA.{if f(eu;1jN,SD. h1ps 5'54Cf(
(City) (Zip Code)
(Phone) ({P /2-) ~~ 7' 403?J
DATE 8'/15/04
(Address)
(Contact Person) ,)'~rryt €A
APPLICANTSIGNATUd 9iI~
il
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink REQUEST FOR Ifll~AL
Water Closet (Toilet) . INSPECTION SENT TO
HOMEOWNER 01-06
Industrial, Commercial & Multi-family 1% 0
Quantity
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backtlow Assembly
wkflow Assembly Test
lWD Sprinkler
:her
dial, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
, LN\ De
Estimated Cost $ .,..vv .
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOT AL ~ ..!.AMIT FEE $
..:?fl. 5.Q
.50
L/-n .~
(OIIke Use Only)
This Application Becomes Your Building Permit Wltell Approved
r
Building OOIdal
Paid tfJ _ -- Rece"-?~S-;3
DatX-d4- LJ BY.. ~. .
24 hour IIotice for all iBspeetioU (952) 447-9850, fa (952) 447-4245 >V
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
Date
~'
DATE TillE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/.3, aft:;
ADDRESS
Iff tR35 f1Ilv~OVt/ ~N.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
4- - &(P4-
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
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~ GAiil:E AIR TST
r- .0 ~
COMMENTS:
f' JJJJ'C3 DUe- J U
) IV /'IUTl II { nI
1
o WORK SATISFACTORY, 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 & SAFETYI
/N$NOTl