HomeMy WebLinkAboutPlg Permit 06-0352
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l) J' Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT 5 _ ~. ob
H.P. PIPEVIORV:S
3670 DODD ROJ\f)
EAGAN, MN 551:' 3
((351) 365 1340
(Address) (City)
(ContactPe"on) v.-.I~~"V- D-.. D (Phone)
\PPLlCANTSIGNATUR\~- _)d~:,) DATE
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
I Floor Drain
I Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
I Shower Stall
I Sinks
I Bar Sink
I Water Closet (Toilet)
(Please type or print and sign at bottom)
ADDRESS 4(P(p:f ?\f'Cl5(ln-: &:~.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(N ame)
DeCUl PJr e \.lex-
'2fiJ111P
(Address)
APPLICANT
(Name)
(Address)
Quantity
o
1
FEE SCHEDULE
Industrial. Commercial & Multi-family I % of job cost with a $39.50 minimum
/) IN"\ 0 0
Estimated Cost $ LUJ.
I Blue File I PERMIT NO I
2 Gold Cily . (}(p. 035 '?
3 Yellow Applicant L-
ZONING (office use)
PIDZ5. 06Z-. OZ&. G'
(Phone)
952. YL(1 ft;f!;st- .
(Phone)
(Zip Code)
Lj-l$" -0(0
Type of Fixture
Rough-ins
I ~~ l-JP~
~ater SoftnV
I Stand.Pipe (Washing Machine)
I Sewage Ejector
I Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
I Other
Residential, New One & Two-Family
Residential, Additions & Alterations
$99.50
$39.50
Building Permit #
39t50
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office lJse Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
.50
l1(). f)CJ
Paid +(). tJ 0
Dates .- &
b.O
,
ReceiP~ No.S/2.t3 8
B~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
lfO, ~ f..ff)
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
4C(P 7
(l-t'ClWvl .f
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON /1 ~
,.O-FINAL '~
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
tfj{) ~rJ-
~
/ /' I ry? _-
I I)~
~'--
DATE TIME
'7--{,.o b
~ - 5'S~
LI- (,-'-1"
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~
~h/~ ')
~
~
~RK SATISFACTORY, PROCEED
o CORRECT ACTlrrOAND P CEED
o CORRECT WORK, CA OR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOrI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!