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HomeMy WebLinkAboutPlg Permit 06-0682 Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT 1. 2- J. ()(p I. Blue File I PERMIT NO 2 Gold City . 0 / . () 6 B z- 3 Yellow Applicant ((' (Please type or print and si2l1 at bottom) ADDRESS . "\ L La 1;1 CMffi~Q k Au \L ~ E G-c\., l. ~ y\CG \' (Phone) G-\QJ\~'kA\)(/_ :s f APPLICANT f\ "_ () _ 1 )~., (Name) "UfQ I r ~ 'fJ .,' , (Address) 7f'~l,) ;;(() 9 --rh . (Address) (City) (Contact Person) c \~J l ,(l.A ... -:" (Pjrye) A..PPLICANT SIGNATURE U.hru / 'tI-ctY'v1~ DATE I / t APPLIC~T PLEASE COMPLETE BELOW Type of Fixture I Quantity Bath Tub with or without shower I Dishwasher I Floor Drain I Lavatory (Bathroom Sink) I I Laundry Tray (lor 2 compartment sink I I Shower Stall I I Sinks I I Bar Sink I I Water Closet (Toilet) I LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION OWNER (Name) .J(G\ \' '0 \ L\ 10 '(;l' (Address) Quantity ZONING (office use) PID aJJ:/Jrr _ O() 1: () '-/1/1 -3q 6-r (Phone) LaJi ell (II€- ?SJ-L/bq -6991 5S() Lit/'. (Zip Code) 9Sa-t.Jh9 --6q CJ l' 7-c1'-1-{J 0 Type of Fixture Rough-ins Water Heater Water Softner Stand Pipe (Washing Machine) I Sewage Ejector I Backflow Assembly I Backflow Assembly Test Lawn Sprinkler V { 8 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 'J.'\ -(')6 Estimated Cost $ -1.J I 0 Building Permit # PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ 39.SV .50 ~ , {/2J (Office Use Only) This Application Becomes Your Building Permit When Approved Building Official Date I Paid 41;. t-1J Date1 1",/ /y.,6 I Receipt N.3;7ff" d- j 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714 DATE oA~6 " lib!? ~/e~~ CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS CONTR. OWNER 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 ~LUMBING FINAL o MECH FINAL TIME .h - -CJ' J- o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o COMMZu-",- Y;;~c:e r.:;~_ ~. 1/4;<; 7~ -/I'I/tJl? ~4~?</ /cJ/eu~~/' /ss~ /070 ~ns .k :Ie a/~ ~, / q,fl ve- h/4r's7.p/:b/ .h~L ~TISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORRECT wo~r'NSPECTION BEFORE COVERING Inspector: / ~{ ~ Owner/contr: . , -- CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE., CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl