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HomeMy WebLinkAboutPlg Permit 02-0889 CITY OF PRIOR LAKE PLUMBING PERMIT Date Rec'd 1~/q. 07/ (Please type or print and slm at bottom) ADDRESS /;9'10; (lard; nOv/ i: ~~ ~!~ PERMIT NO. ()2 "OIJ,aq 3. Yellow Applicant V V R,-d80 +r- ZONING (ofticeuse) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) <;. \0' r \l ~ (~q Lj~ R: d~O'-t, f)\cLl (\ \J ,0 (Phone) ~S-J-1/6q-6rt99 cJ 'IPtr1 .tf; q/l r /eu.) flue loJ{ (7Y i; ! r;; ,<; ~7Y11 (Address)' (City) (Zip Code) J ~n (\ /I (Phone) '-/b9 -6qqq fJOL/JOJ?/) DATE 7/17/ oJ ~ \ vo ) ('a('~~{\OL\ . (Phone) L/i/() --'i6J1 (Address) APPLICANT (Name) (Address) (Contact Person) APPLICA! T PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough-ins Dishwasher I Water Heater I Floor Drain I Water Softner I Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine) I Laundry Tray (I or 2 compartment sink I Sewage Ejector I Shower Stall I Backflow Assembly I Sinks I Backflow Assembly Test I Bar Sink I I Lawn Sprinkler I Water Closet (Toilet) i Other t APPLICANT SIGNATURE FEE SCHEDULE Industrial, Commercial & Multi-family I % of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50 Residential, Additions & Alterations $39.50 (Office Use Only) This APPlic",.v\ ~romes Your Building Permit When Approved f/~_-- 1.::J!j ,,0 Z- Building Official Date PLUMBING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Pennit # 0 Z.. 0 P; ~9 39tSD ).50 '-//lOu $ $ $ Estimated Cost $ Paid 4- o. 0 U Dat~. /q. dl- Receipt No. I - ~Z5~ BYp 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 DATE C;y~3 .5 9tff/- ~ 18r(4( CONTR. ~ ~~ CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS OWNER PHONE NO. 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 TIME o EXlGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o COMMENTS: kuu?J :5-1)/~/Y ~ ~------ (~/ i ()5e- F;'J "'-L.-/ \, _________ ~RK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: W Owner/Contr: , I CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTI CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl