HomeMy WebLinkAboutPlg Permit 02-1073
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CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
APPLICANT Oil
(Name) SCh.(/(/ '.::>;he. (Phone) '1~'--('/4,~~\)y
(Address) 4-foc) tirJr " vJ ci PI' ;~, ~/<-( 5S,\" ~
(Addres~ (City) (Zip Code)
(ContactPe"on) ~AJ~ (Phone) (PI "2 - ? "'7-? 0 'f'?
APPLICANT SIGNATURE .. ~/~~ DATE ~'-;;19-0L.
lpp~ICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
I Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
I Shower Stall
I Sinks
I Bar Sink
I Water Closet (Toilet)
(Please type or print and sign at bottom)
ADDRESS
3150 b#W -jlQ6H7S 72.,4/1.-
LEGAL DESCRIPTION (office use only)
LOT
G ~ e-IJ ~f-s
BLOCK
ADDITION
OWNER
(Name)
. (Address)
Quantity
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
I, Blue File PERMIT NO
2 Gold City . /) "") - 1/)7" ,3
3 Yellow Applicant {,/ C7"- I U
ZONING (office use2....1
rn el S~
PID;)S- /O;l.-O~O
(Phone)
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other Vt11"- ~ 5; tV J <
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
~ 9-S""O
.50
lfD ,00
Paid 4 CJ ' -- Receq ~''71 /
Date~... G!o,_()().......BY tc-'
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
DATE TIME
SCHEDULED 8-~'-- '03
10:00
ADDRESS J~ G;~ # ~
OWNER (1p\~,^ ~ 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
')(.PLUMBING FINAL
o MECH FINAL
COMMENTS:
\.. ~
r'~
r
~W~.
, '
r?--d4- 03
Oie
? "1ti5
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
(1 /0 S,,:,:> F, i /e-
o WORK SATISFACTORY. PROCEED
o CORRECT I AND PROCEED
)( CORREC . CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CAL~ 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!