HomeMy WebLinkAboutPlg Permit 02-1226
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(Please type or print and sign at bottom)
ADDRESS
POr\<-\Dd 0
iSQ2-CJ \J]\tct
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
~, Q~ t--\-(J
(Add",,,) \ v)1) UJ W \ tel y(t vt-Wo ~
~~;,;~~ANT llck{Gy\ ~~wy
(Address) \ t.Q 1~ Q '1Iv,Qd (l~ ~lth,
(Address)
OWNER
(Name)
\eUl
(Contact Person)
APPLICANT SIGNATURE
/0-1-02-
I, Blue File
2 Gold City
J. Yellow Applicant
(~)
PERMIT NO. cJ;lI:tjZZ~
.,r.J;'
.AONING ("fficr ".)
"
PID 2S ....:J7tp - (.J i /-0
(Phone)
q 6 g, -4Lto -Lt lP 10
(Phone) qCJ~-LI'3(} , '?]170
t LtVllA1U %JUL(
(City) (Zip Code)
(Phone)
DATE
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
I
[U
Quantity
ll/j;QlJ
S/j;N1' 'JtS1' Iii
1'0 C 01l1lV,
ON1'b .. SP/j;C
~VIC1'O~1'lON
.-
Industrial, Commercial & Multi-family 1% lJ. .'
Estimated Cost $
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This APPh,i/7c.Oj~on ~;r comes Y onr Bnilding Permit When Approved
~ /tJ., -Uz.-
Building Official Date
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
I Other
Residential, New One & Two-Family $99,50
Residential, Additions & Alterations $39,50
mg Permit # () 2- -I Z- Z- (p
39.5V
.50
40_ 00
Paid 4-0.W
Date f 0 .... I - 0 7-
Receipt No.
2131
By
t.
o
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
9-~
~ \J.J '-..
'v
~- 1%2..1o
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
\S3~9 W~\&~
OWNER
CONTR.
PHONE NO.
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
COMMENTS:
0... TE TIME
4:00
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GA,SLlNE ~IR.r.ST
X Wa. \~ ';:)o~~ y..4..r-'
AND PROCEED
ALL FOR REINSPECTION BEFORE COVERING
7
44 -1/850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
V
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
Inspect( r:
Owner/Contr:
INSNOTI