HomeMy WebLinkAboutPlg Permit 02-0904
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I. Blue File
2 Gold City
3. Yenow Applicant
PERMIT NOt:J()-9~
(Please type or print and si2ll at bottom)
ADDRESS
~230 C~</ Cove, f(-aAJ $.~.
./
ZONING (office use)
1< I SD
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
~ mJ1/J1rLJ
PID;)b"' IJ;;~!}O q,. 0.
OWNER /' I _ J__~
(Name) ~rDW1'.A.
(Address) 5230 Co..noJi Cove rtu1 6, . E.
APPLICANT .. \ \ _\ &::>\ \ .
(Name) '\JO f" 0 C/V"l\ r UMA'O\~
(Address) 2'905 q~,'.€1d ft..re.. f>f),
(Address)
(Phone) (~5Z) '1L/7-fo"13
.tYln
(Phone)
~~
(Cell) 827-'-ftJ33
5510cP
(Zip Code)
(Contact Person) (Phone)
APPLICANT SIGNATURE ~ ~ DATE
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)
7/JS-/()2
Quantity
Type of Fixture
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 $ 1C/l),J;(b
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
3"1. so
.50
q 0 .00
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid Llo ( c?i;
Date -:l 'I
.1-(7-:1- V
Recei~:s- S- r--l.
By O{./
(j
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE nilE
SCt'iEDULED
2--);~
ADDRESS
r2Jo Co..,ct COIx- T>-
OWNER
CONTR.
PHONE NO.
2. - CftJ4
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
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
H Lo I+~c<-k_
/' I_/'~-
~V~-C
rr/
r'4-.
potWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: # )... J- r'(J '] Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &I SAFETY!
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