HomeMy WebLinkAboutPlg Permit 05-1240
CITY OF PRIOR LAKE PLUMBING PERl\'Ul
Date Rec'd
(Please type or print and sign at Dv..v=)
ADDRESS
JLJaa:=1 Ash 0, r-Q'e..
L Blue File PERMIT NO
2. Gold City . .Ii 5. I '7 4--()
3. Yellow Applicant U V
b,-:::>50@
ZONING (office use)
(Phone)
_ DATE JfS)L1B.JCS
APPLICANT PLEASE COMPLE~ELOW
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER..--
(Name) '- JUz:a n...LJ<=>-
LA )Cd I
AhJu:' -
(Address)
APPLICANT
(Name)
CULLIGAN WATER CONDITIONING
~030 CUi IIAAN...W.AY
MINN'ETONKA, MN 55345
rgS.::!) 933 720(\
(Address)
(Address)
(Contact Person)
APPLICANT SIGNA T
Quantity Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Quantity
I
PID J.)'"". 0 14 . () 0 4-. 0
(~)LA(o-9~1
(Phone)
(City)
(Zip Code)
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $ C5t:().U U
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
.~.J
2.n~
.50
~
Paid
+0-
Date/ v-
l . 7--6 . "j
Receipt No.. . J
/7 r ~r f"/
By -t.
/
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for aU inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
ADDRESS
1(,2e;y>
DATE TIME
SCHEDULED //~-
~~ c;-
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
. 5_/ZL}O
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
g ~R HOOKUP
~_':..~.BING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: ~ / / ') /l /
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/ &' 'yl..q / L/' ('C..
~ SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~K;..?';.~REINSPECTION BEFORE COVERING
Inspector: /'" rl /' Owner/Contr:
- y
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!