HomeMy WebLinkAboutPlg Permit 02-0818
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
L Blue File I PERMIT NO 81
2. Gold City . ~ ~ _ 0- J
3. Vellow Applicant (,./ Q\ 0 t
(Please type or print and sUm at bottom)
ADDRESS
LEGAL DESCRIPTION (0_ ~ only) 0
LOT Y BLOCK .3 ADDITION fL1tvHlt--PI- ,3tol-
~'::e~R H"cA~f I tfll~ Ie /'
W$ It-sM~ Ave
I
~~~ .4ft? ~AJ.j~....is (Phone) 4r;J-/J$- '/?)?
(Address) IlIA tJ, ~,..., M~ /"1lr.fW- h# SZi:/7/
(MD=s) / / . (city) (j. (Zip ~de)
(Contact Person) ?; SLc../ M.d./-.- .... (Phone) .fANE
APPLICANT SIGNATURE / 2~~J~ --- DATE ~U1~.2..
APPL~ANT PLEASE COMPLETE BELOW ,-.,00-
Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher //~ Water Heater
Floor Drain ~ Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
(Address)
Quantity
1'f.l#S
4s~ ,,#/4 /!/ L;-
ZONING (office use)
Pudr
.
,
PIDdrt;''" ;)l(j"" tlJ7/-0
AlE
(Phone) Cj f'J - f) J .... t 8 tj II
A L. rt/V S.5?'>l.
FEE SL11.EDULE
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 #
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ :fy, rd
$ .50
$ 'f~-
paid~~t? pi)
Date i-8-0a---.
Receipt No. q 0
t:Td-~
By ,. .
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V
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
143t~ ~~
OWNER
PHONE NO.
o FOOTING
o FOUNDA nON
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
DATE TIME
J/t2-/a3 .~
2- ~ t f> 4!"A. ".~
A
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
;~AI~~
/ FuY1J.lALf..
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
CZf4-
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYl
INSNOTI