HomeMy WebLinkAboutPlg Permit 02-1357
Date Rec'd
CITY OF PRIOR LAKE PI.JMBING PERMIT
(Please type or print and sign at bottom)
ADDRESS
l L-\ 9100 0 (b1)\<-m~ (~ Po\ V [l
LOT
LEGAL DESCRIPTION (office use only)
BLOCK
ADDITION
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\LI'Ot~~ C?~nLlJt, &tvC{ N~0
~ 0\/1 fJV\ 0\CW.Y (Phone) c{ C5 if"lf)C7/ 'l; 710
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(~~ress) (City) (Zip Code)
(Contact Person) ~ (, DY\ nlWi Y (Phone)
APPLICANT SIGNATUREc:t~h~ ltl~l V DATE \0 [[lll WL.-
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture I Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (1 or 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (T
OWNER
(Name)
(Address)
APPLICANT
(N ame)
(Address)
Quantity
l
Industrial, Commercial & Multi-fill
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']HIm
Building Permit # 0 Z -/3':) 7
:J ct. 50
.50
4(}. flU
Estimated Cost $
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
(Office Use Only)
This APPIiC. ;PJ)1 BJ"J'f' Y 00' Boild;o. Pe,mit When App,oved
q!:.~~ J 10.. i 1.-()7--
Auildihg Official Date
/0 /1-(17-/
I, Blue File PERMIT NO
2 Gold City . /) ") -/. 757'
3 Yellow Applicant Lv..,...,
NLO
ZONING (office use)
PID
(Phone) C\ f5lh-LKi 0- II [;] <?J
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
, pai~6. <JlJ
Date
il'i'11-UL--
,
RoceiP:m. .~~O f;
BYr~ -
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24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULEO
ADDRESS
It-/~f~ - '"
OWNER
CONTR.
PHONE NO.
PERMIT NO,
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
~I SULA TION 0 SEWER HOOKUP
FINAL 0 PLUMBING FINAL
C;:~:S:~:~ION 0 ~ ~ECH FINAL
,/J-D/~
. U
/
1') J(
L/ /
11J~/
\..../
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
DATE TIME
1/-~33
:J- 13C;7
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
s,f-{--
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSl'WTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!