HomeMy WebLinkAboutPlg Permit 06-0145
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
3, 9. O&;
I. Blue File I PERMIT NO 5'
2. Gold City '0 (p. 0/4-
3. Yellow Applicant
(Please type or print and si~ at bottom)
, ADDRESS
/~5/0
II~N~{jlv/Y e;;-:. -11308
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID2S. 37ft 06~. 0
OWNER
(Name)
(Phone)
(Address)
APPLICANT l' ' J ~t I
(Name)j{Ja fn.e- ~ULUc1 !ter y ~~,\~ (Phone)
(Address) / 55 LS Ctree.Y\.. h1. e,. )~VJ C l''-'C Ie.- .' (' A.1-V~/
(Addless) (City)'
(Contact Person) tA5a';(,~e,,~ ~~Cl II-~,- (Phone)
. PPLICANT SIGNATURE~=:?_ ~ --1 DATE ~
q SJL - L/'TB -~7 6..f
I ,S'S.3 /5
(Zip Code)
cr-O-6'
APPLICANT PLEASE COMPLETE BELOW
I Quantit):.-- - --{ype of Fixture Quantity I
~((Jl.1"t ,!3ath Tub wj!lior without shower Rough-ins
"" ~r Water Heater
I Floor Drain Water Softner
I Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
I Laundry Tray (1 or 2 compartment sink Sewage Ejector
I Shower Stall Backflow Assembly
I Sinks Backflow Assembly Test
I Bar Sink Lawn Sprinkler
I Water Closet (Toilet) Other
Type of Fixture
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 $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.::J9. 50
.50
ifO. {fV
(Office Use Only)
I
This Application Becomes Your Building Permit When Approved
Building Official
Paid -to. 0 ()
Date a I.
Date ~.4V~' r" ~ (p
24 hour notice for all inspectio.((95~~9850, fax (J2) 447-4245
16200 Eagle Creek Ave., S.E., prior"[8'l{e,' I~N-55372-1714
Receipt NO'Sl/S 2..
~
B~
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
3PC<<
, ,
ADDRESS /6S70
OWNER -#3CJR
fr~/7 9'UI ~ Ir cl-
C.../ /
CONTR.
PHONE NO.
PERMIT NO.
6 -/-I/S-
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
~UMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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ORK SA Y PRO'2~!:':!
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INS/iOTl