HomeMy WebLinkAboutPlg Permit 02-0187
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIt
2--ze-02-
1. Blue File
2. Gold City
3. Yenow Applicant
I PERMIT NO'02 -/J /87
(Please tvoe or orint and sian at bu ..u_l
ADDRESS
S4"Z-
P/I IV IV r1c-rl t:)() W (}{) ~ {5
ZONING (office use)
LEGAL DESCR1.t' uON (office use only)
LOT
BLOCK
ADDITION
PID 2S-319-{)5t,-O
OWNER
(Name)
(Phone)
(Address)
,
APPLICANT /0 W N eJe.. [', ~J G Y.IJ7J
(Name) {-'"'I '
(Phone)
1t 2 440- 7/1J>
(Address)
(City)
(Zip Code)
(Address) .... . I
(Contact Person) L I ~ ~ y /11V 1 D
APPLICANT SIGNATURE ~ ~
...........
(Phone)
DATE
"2-/ ~/ ~ 2-
Quantity
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)
Type of Fixture
\(.
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
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
Estimated Cost $ Building Permit # () 2",- 0 / ~ 7
PLUMBING PERMIT FEE $ .39.50
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ 4-0. 00
(Office Use Only)
This APpl~i~}eJf~s Your Building Permit When Approved Paid t)
fbf/~ 't~z"B-rn- Dufa.o.
Building Official Date "?' Z e .... dZ.<:
24 hour notice for all inspections (952f98:YX (952) 447-4245
ReceiP41? C)9
By ~
~
/NJ' ~e crt) If:-
4+7-9853 (P/tlJl-)
DATE TIME
CITY OF PRIOR LAKE
INSPECTIO~NOTICE
SCHEDULED
s ' S ,07- +JAftJ
ADDRESS
5+0 z.. ,cAWN t1e7tDOW
OWNER
CONTR.
PHONE NO.
PERMIT NO.
6 z.. - 0181
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 FINA
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
erAH~E J.IR TST
f'\- 0 sofT:
COMMENTS:
)( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~LL FOR REINSPECTION BEFORE COVERING
Inspector: ~ I Owner/Contr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl