HomeMy WebLinkAboutPlg Permit 06-0704
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
B. 3. (J ~
(Please type or print and si~ at bottom)
ADDRESS
f) 900 ~(Y\~r ~Q'\ ,
~. ~ ~:~ PERMIT NO. 0" . 0 lOA-
3. Yellow Applicant --zr
~r\Qr '-ax ~ KIN
ZONING (office
use)
LEGAL DESCRlr lION (office use only)
LOT BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
APPLICANT'\) (.... _ J.. '\l '
(Name) \\~~r.<:o ...y\\1.t'{\\o~, -:LnL.
(Address) .,~<6<60 W\~\~~L..J~ - ~ Q+-
(Address)
(Contact Person) l:x:l.f\. c..Jou~\....
Quantity
(Phone) q:5;). - Lf'-{-,- S,\n J
~(\nrr lat G 553-7d-
(City) (Zip Code)
(Phone) ~(;>- Lfg3-- QJI1CJ
DATE -, J;1'-/ / Olp
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (1 or 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Type of Fixture
I APPLICANT SIGNATURE
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assemblv Test
, rLawnSpriiikler~' )
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
(Office Use Only)
Estimated Cost $ Building Permit # . b
PLUMBING PERMIT FEE $ .3 'I. 5
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ ~ ()
F
BuUdinl!: Official
Date
Paid 4--<J. 6 (J
I DateS. 3. 6~
Receipt NO.SI?,? 2-
By L ~
I
This Application Becomes Your Building Permit When Approved
24 bour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
~S:900
fi1z,t~,-
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
...,Jii-P1.UMBING FINAL
o MECH FINAL
j~
7?/
TIME
b - TCJ Y
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:, ____ /
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~TISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~R~~ REINSPECTION BEFORE COVERING
Inspector: ,/ ~,L.--/ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI