HomeMy WebLinkAboutPlg Permit 06-0581
CITY OF PRIOR LAKE PLUMBING PERMIT
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PERMIT N~
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ADDRESS
-7 ----, . ---'~ /2/ 'J
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LEGAL DESCRIPTION (ofl'lce use only)
-
25. .382-, 02-8. 0
LOT
BWCK
ADDmON
PID
OWNER
(Name:) 'A:..,r/f:' f~. a,.f...//e~ LIe/75 eo /'7
(Addmi) ./::rt:~cro fi-~e4-'6 // /1h-<...)
7:"S:;:1 -
(phone) .~....".Jc/,,0)
~~~1-&-5';?-:"7 /?7R.C'~''-/'7_ c> <. / Z~n C (Phone):S~-4;:f-..:A::t-;;<::),
(A.d,d,re,m) 15-775'/ /"d #---<::...5 C.j ,;5 cc e~.2 d'A?L,,/ /<;'9~ e, ~/2--/5z;.<~7
(Address) '(City)'
(Contact Penon) &~'/ ~-;'4./7 6~--~".p",,- (phODe) .7.5;;;' -?5~Y -/2:cO
APPLICANT SIGNATURE
DATE
APPLICANT PLEASE COMPLETE BELOW
QU.IlB tit)'
Type of Fixture
Bath To b with or without shower
. Dishwasher
Floor Drain
Lavatory (Bathroom Sink) m,n
Laundry Tray (1 or 2 compartment sink
Shower Stall
Sliibn_~-" .'.
Bar Sink
Wator Closet (Toilet)
QUllntity
Type of Fb
/
Rough-ins
Water Heater
Water Softner n
Stand Pipe (W u~ing Mt
ScwaSC Ejector
Backtlow Assembly
BackfJow AlUI~bly Tes
Lawn Sprinkler
Other
FEE SCHEDULE
Indu8lTtal. CDrnrnerc.lal& Multi-family 1% ofjub wilt with 11 $39.50 minimum Ra!id\:alua1,. N~ Om:; &.1'wo.Pami
Re&idClltlaJ, AddiUollfJ & Altention
E8timatsd Colrt $
Building Permit #
PLUMBING PBRMIT FEE $
STA TB SURCHARGE $
TOTAL PERMIT FEE $
,--"Sf'9 <-50
.SO
~5 C:Q
(omu Use O"tly)
http://64. ] 22.48. 40:8080/weblink/Doc View. asp? DocumentfD=445&F olderID=334&Searc... 2/22/2006
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CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS ~r ~) ~b-)s
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:
/1 I / D II r
(!).~ 0 VLa il"; I /~
-,~
11
TIME
~- 6-g/
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~GASLlNE AIR.TS~ \.
,- "'........ ""- I ttl\1J'" CIY\..
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORR7J!jc K, CALL FOR REINSPECTION BEFORE COVERING
Inspecto . Owner/Contr:
____'V
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!