HomeMy WebLinkAboutPlg Permit 02-1481
11/06/02 WED 15:47 FAX 6124474245
_,~~TY ~F PRIOR LAKE
III 001
Da.te Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I..... P,le
2 Go!o ellY
J Y"_ ..."aicont
.~E~TNO.G1~-ILl5/\
(Pl~ ~e or oruU anc1 SlI!.D. at boaom'
ADDRESS --
fflJj 'rnCL~~^ tM
ZONING (om(" usr]
If/50
LEGAL DESCRlPTION (office use only)
LOT 11 BL05K ADDITION
OWNER \
(Na.me)_ 0{LUQf'(V ()~'h;SIlY\_
(Address) lLfq J 7 mn ~J\uw i~\
fA;) prraS-{)C3-0 LJ9-~O
(J .J-ll.Jf..J/" J.
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(Phone) 95:J - t/~?~ 0'J. 9 S~
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APPLICANT SIGNATIJRE ..' ,U-f&. DATE
Y APPLICANT PLEASE COMPLETE BELOW
Type of Fixture I Quantity I Type of Fixture
Bath Tub with or without shower 1- Rough-ins
Dishwasher \ ~ Water Heater
Floor Drain Water Softner
lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink - rSewage Ejector
Shower Stall Backflow Assembly
.,,- Slriks .,- - Backflow Assembly Test
~. . ~~ Si~. Lawn Sprinkler
I Water ....Ioset (Toilet) Other
. (phone)
(0l~ A2/ ~l./)8 q
~V31
(Zip Code)
[' (PI?) --:;0/- '--I? <67
III? I cJz..-
.In 11\.)
APPLICANT \ (\) . {\ .
(Name) \, ~ . , O. f2-\-t"N\.G../v-J "l!)..~tf
(Address) .,'~/Sr'JCJ I1)C~-tA.Ci.-teiA Vtw-
, (Address) .
(Contact Person) -J.AM
(phone)
& K /lr1__
(City)
Qua~tity
FEE SCHEDULE
Industrial, Commcrc:il1l &. Multj.t"amily 1% \)f,iob C\lst with a $39.50 minimum Residcnti:11. New One &. Two-F.unily $99.50
Residential, Additions IlL Alterations $"39.50
PLUMBING PERMIT FEE
ST ATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
3q. stJ_
~O
(/I?, OV-
$
$
$
Estimated Cost $ .5(h. C(.)
(omtt UK 0111,)
Thill Application Becomes Your Building Pennit Wtten Appl'01led
Receipt Zln 53 \
By 0- \
Buildlftg omdal
D:t~
\ Paid L/(),----
Dat; 1_ 0- -rJ ;J-.
24 bour IUIti~ for all iacpectionl (952) 447-9850, r... (952) 447-4245
'6100 ElIcit Creek Iwe.. S.E., prior Lake. MN 5537'2-1714
DATE TIME
CITY OF P.RIOR LAKE
INSPECTION NOTICE
SCHEDULED
2-10
ADDRESS
iLj q 17
(ltIu vt (+ttv f2 J
CONTR. - _ I Li <; /,. 1--/7D Wi v
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rf
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
-rvVV\WI' / 4LU j h&/ .L-
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ljI WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
'f'l/Y'J 2 10,0")
Inspector: IrQ - - Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl