HomeMy WebLinkAboutPlg Permit 02-0094
-
~
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
~ \
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
, /'
(Please type or print and si~ at b_~;.._.)
ADDRESS
43t.fS wioV\l\focrl S\-. Sf..
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
~~ \l~~~
~
-~o (\~ G~.a~
(Address)
APPLICANT
(Name) CULLIGAN WATER CONDITIONING
6030 CULLIGAN WAY
(Address) MIt.lNETONKA. MN 55345
((962+s83;3- 7200
(Contact Person)
APPLICANT SIGNA TU
Quantity
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
Estimated Cost 1 aoo~
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Applic~t~~nA Bl~ our Building Permit When Approved
P/fIW J-'t>-'O'Y
Bt.ilding Official Date
1. Blue File
2. Gold City
3. Vellow Applicant
1- t-5" '0 z-.
PERMITNO'OZ-009~
ZONING (office use)
PIDZ.5' -327- 01Z,-0
(Phone) l~5~J~.L\:~
(phone)
(City)
(Zip Code)
(Phone)
DATE
lI-zt\oJ
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Building Permit #
$~~q.5{)
$ .50
$ 4O..0n
paid4- 0.00
Date
( - 'Z- S" r () 'Z,..
Receipt No41/7_
By fP'-
...
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
z.t, .02-
'Z;uV
ADDRESS
43~
pit/~~WO()O ~-r.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
6z-0014-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI 0 EXlGRADIFILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FIN. .It\, ~ GASLlNE AIR TST
o MECH FINAL \ ~ 14~ 0 COp"/.
COMMENTS:
(I~~"b I
. - -
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
:_~(
Inspector:
Owner/Contr:
I
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IMNOTl