HomeMy WebLinkAboutPlg Permit 02-0484
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
S-3-QZ-
1. Blue File
2. Gold City
3. Yellow Applicant
\.
I PERMIT NOOd-Mg>~
ZONING (office use)
uD
LEGAL DESCRIPTION (office use only) . rd
LOT~LOCK ( ADDITION.....W~ 3.
PIDaS-33'7- D3 -C>
~~e~~\d()~ Na\-a\ ~ ~:z..
(Address)
(Pho ~)44L'2-lo2.?_
55~1
(Address)
CULL'
6030 CULLIGAN WAY
MINNETONKA, MN 05345
952 933-7200
(Address)
(Phone)
APPLICANT
(Name)
(City)
(Zip Code)
(Contact Person)
(Phone)
APPLICANT SIGNATURE
DATE
Quantity
APPLICANT PLEASE COMPLETE HELO
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
FEE SCHEDULE
Industrial, Commercial & Multi-family I % of job cost with a $39.50 minimum
Residential, N w One & Two-Family $99.50
Residential, A itions & Alterations $39.50
4") 00
Estimated Cost $ ~ 0() ---
Building Permit #
Building Official
Date
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4 45
CITY OF PRIOR LAKE
INSPECTION. NOTICE
TIME J
SCHEDULED ..5"IJ/-~ II;OU
/A.JtJoddudc
DATE
ADDRESS
/S'/fo/
OWNER
CONTR.
PERMIT NO.
01;'4gf
PHONE 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
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
~ 0 Sb-fL
6~
('JCl~e ~~f'_
/
rORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~~~' ~ALL FOR REINSPECTION BEFORE COVERING
Inspector: JJ ( Owner/Contr:
CALL 447-9850 FOR HE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl