HomeMy WebLinkAboutPlg Permit 02-0630
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(Please type or Drint and sign at bottom)
I ADDRESS ZONING (office use)
~ C\/~
~. ~~ ~:~ I PERMIT NO. 0." ...... I.. .2/1)
3. Yellow Applicant 0\ 0 ~'-1'
~4~!
5+~IVeC-resf-P/j fA
R~
LEGAL DESCRIPTION (office use only)
LOT~LOCK / ADDITIONYYU-a.J~ tv U,' e-u.:;
PI~5" 3gq- CA?ph~
..
fr'J ojJ
""
--.
itl.J:K %e~ -f~ 'f .II,,~ <:.J
(Address)
:
<LL
<t2Sr
'~-''';k n / /1_/
, ~ t9 -? 6/~t': rc /J2..1 .
~) 2..tJj)- /~~ ~"'''1u! ~/IC-
(Address)
1 eo~ ./")
~~ nIL
v
iI ?;r'zI'Z1"6?'.7~
-~' ~l:
rJ~f'.7c;~,(' ..?~
~ )~C/d-<
....- u_,
- ~~
(ell
A~
APPLICANT PLEASE COMPLETE BELOW
Quantity 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)
I Laundry Tray (lor 2 compartment sink Sewage Ejector
I Shower Stall X I Backflow Assembly
I Sinks I Backflow Assembly Test
I Bar Sink I Lawn Sprinkler
I Water Closet (Toilet) I 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 Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
'- ~q, 'SO
.50
'1IJ,fJO
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Llo J 0 () Receipt ~';;"II r
Date Date C". 0 I-OJ.... By Q.-CJ~
Building Official &J 0 -
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
\.,
ft,(j
S/
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
g~7/[)3
1%\ ~ p~
SCHEDULED
OWNER
CONTR.
PHONE NO.
~,~t9
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
4
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
}t ~TST
~~
COMMENTS:
YWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
4a>
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
'C
~..::<:..