HomeMy WebLinkAboutPlg Permit 02-0643
CITY OF PRIOR LAKE PLUMBING PERl\'ul
Date Rec'd
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)
(Please type or print and sism at bu ..u~)
ADDRESS
Sk~dYr)oqk: ,+
31 ~(
LEGAL DESCR1.t' nON (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Address)
~.;~~T Ac (V- t J ,I-frld ~ I "'-'1~ ''''J
2. L" /00 .D~V\ ~ 1ra: I
(Address)' .
10 I"Yl Jo'- ~
APPLICANT SIGNATURE ~ kf.....,.-t
(Address)
(Contact Person)
......
Quantity
'I
v
~. ~~ ~:;y I PERMIT NO.02.. /,/.;)....., I
3. Yellow Applicant f#""...;J
ZONING (office use)
PID
(Phone)
<' ""
(phone) R52) (;t 9 -l.; ot:>t)
CI(Jt? \;; III S"5' 0 </</
(City) ) (Zip Code)
(PhOne)j;f7 1~5-c.~o3
DATE~Io~
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 $
Building Penn it #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
uilding Permit When Approved
{, - ~- 0 --z.-
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
.?1. ~?:2
.50
40.00
Paid
ReC:iP: Ni{, , W
Brig
Date (~_ '3. 0 ?...
DATE TIME
CITY OF PRIOR LAKE
INSPEC"IO,:-":7,ICE
PHONE NO.
;,,31&
818',;( ti. a1J. uueJ)r
~ -~<<3
SCHEDULED
ADDRESS
OWNER
PERMIT NO.
COMMENTS:
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
;j;;;;;;, S~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
..a-FINAL
o SITE INSPECTION
/} #~ ,,~V'
(I A.)/
V"
/'
rORK 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 &; SAFETYl
INSNOTl