HomeMy WebLinkAboutPlg Permit 02-0826
. . '
Date Rec'd
CITY QF PRIOR LAKE PLUMBING PERMIT
~~~'6,o'3
1. Blue File PERMIT NO ~
2. Gold City . .J'I ~ _
3. Yellow Applicant V t:7I
(Please type or print and si~ at bottom)
ADDRESS
11/'1/7
~~/L--
ZONING (office use)
RI
LEGAL. DESCRIPTION (office use only) ;/
LOT (1BLOCK ~ ADDITION /Yrtr/r M
_ fv\,c...hCl.,l Mc..t_: tI c
f/(A;;
PIo..:>S - 36;;-0 IP-.O
-.. , '\5'2 ~ ~~~ I q \ 8
..
(Address)
APPLICANT
(Name)
(Phone)
(Address)
(Contact Person)
(City)
(Phone)
(Zip Code)
(Address)
?-q-o,?-
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
~-?
IX
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
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
B q 5"0
.50
L.1 () , ---
f
$
$
$
Estimated Cost $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
" L/IJ~ OJ
Dat~_q-o ~
Rece>>~o~ 8"1
BY~
V
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
"
DATE TIME
CITY OF PRIOR LAKE ...:2 /.
INSPECTION NonCE SCHEDULED y lit ~
ADDRESS tf{Lill ~~~VaJ)
OWNER
CONTR.
PHONE NO.
PERMIT NO.
2----~U?
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 EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
As;~TST
~.a-~
COMMENTS:
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 01 SAFETYI
/NSNOTl