HomeMy WebLinkAboutPlg Permit 02-0517
CITY OF PRIOR LAKE PLUMBING PERlVlll
Date Rec'd
5-/J>-()~
~
1. Blue File I PERMIT NO
2. Gold City . ()7.. -0. 5"-'
J. Yenow Applicant ' I
(Please type or print and siRll at b.v..v~)
ADDRESS
2709 Wlt-DS L-/fNE'
ZONING (office use)
Pun
LEGAL DESCRLl' uON (office use only)
LOT Z-~BLOCK I ADDITION c.5"~1 A.K;, ..r ()(,/fl4
PID 25-307- 02..8-0
OWNER
(Name)
(Phone)
(Address)
APPLICANT Ai}
(Name) I/fIf 00 /'l
(f- 111 00 ('€.
(Address) I O"~ 16 ~ crq "1-'" ~tAJl
f) (Address)
(Contact Person) . ( ./C7f fI...t 111 tJ 0 r e
Oo~ ?/Yl~
Wa#/"'
11.
T,.eC{ito~'I f' 76>- 3F:~-70g.7
Pr(~(et()" ~S:J7 /
(City)
(Phone)
(Zip Code)
76 )--2.K"6 - 014~
S--/3 --0":<
APPLICANT SIGNATURE
DATE
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
I
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 I % of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Permit # () 2- - 0 5 17
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
...3 Cl 50
_ .50
4-O.oU
(Office Use Only)
This APplicat~~ Brcomes Your Building Permit When Approved
)0V1.A- S- -Iyo~
BUilding Official - Date
Paid
~O. cflJ
Date
~ .//3/ c!-z.--
ReceiptNo~
7" 2-d :J 0
By Ie?--
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
DATE TIME
CITY OF PRIOR LAKE
INSPECTI~ NOTICE
SCHEDULED
$".11.
2!Ca
ADDRESS 27D 5 f J );, &s
[J./\
PHONE NO,
CONTR.
PERMIT NO. 02- 0<::;-/-;
OWNER
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL 0 PLUMBING FINAL
o SITE INSPECTION, I 0 MECH F~"t
COMMENTS: tT~ So"T1
o EXlGRADIFILLlNG
o COMPlAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
/
, (\./
cIDse..- ~l/e
r~RK SATISFACTORY. PROCEED
o CORRECT ACTlq ~ AND PROCEED
o CORRE~'~ \ CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~V~ Owner/Contr:
CALL 447-9850 FOR TH~NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI