HomeMy WebLinkAboutPlg Permit 02-1035
08/~1/01 TU~ 09:07 FAX 6~24474245
CITY OF PRIOR LAKE
141 0 lJ
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I. Dlue Fi~c \ p.., u' .......T NO \
~~ ~ ~~ .. '
3. Yollow APpl1wtl. Cl2::../o3S
(PlellSe type or !JOnI : !ld si,:.;a a.t bottom)
ADDRESS ' .
: 113~ 2. \~r9('e\d Dr.
ZONING (offiee use)
72-/
OWNER
(Name) _
~' ' -L.-~)1fPct ~. .-.
I "\
. / ~
_'0 ~ f-b!t:oY\ (~ \ (phone)
\ J
dG~0C K0V\b-(',dC\9- L**-(0~
b
LEGAL DESC; IPTION (offic~ use only)
'. LO;oqBLCJ.::::K I ADDITION
PIDc95 -'31-;t - 0 ~ 9-9
-..
crs 2 ,qX-S . r-;7-7Z-
I (Address)
. APPLICANT
(Name)
Surge Water Conditioning
i'~~u I 1VI\1l1ltHU'It\a ewa.
Minnetonka, MN 55305
(Address) ~ (City)
(Cont.elPe"o" \<;,,,, y j ,__~ \:?().LJ l-"-{ - (Phone).
: =-L~~)
lAl'PUCANT::GNi\TURE/_>,~S{-9';~ Di\TE
APPLICANT PLEASE COMPLETE BELOW
I Quantity Type of Fixture I Quantity
1 -~. Bath Tub with or without shower
I : Dishwasher
\ :. Floor Drain
L ' LavatQry (Bathroom Sink)
\ . Laundry Tray (1 or 2 compartment sink .
\ .., Shower Stall -
Sinks
Bar Sink
Water'Closei (Toilet)'
'".-
(Phone) _
qS2-Q38.18R()
(Address)
(Zip Code)
q S'; 2-. q38 'JPE~:/2)
~ 20 LO'L-
Type of Fixture
. -
J
j
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
sewage Ejector
Backflow Assembly
Backflow Assembly.Test
I Lawn Sprinkler
\ Other
~
1
~
\
\
- .--- ..-_..~---....-.. -
FEE SCHEDULE
IU'.\'.',r,:'li".1. COlli nercial & Multi.family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Pennit #
PLUMBING PERMIT F~E $
STATESURCHARGB $
TOTAL PERMIT FEE $
t..l (] - CD
_I -.-
.50
j,{{ ') . c...V
Date
Paid LtQ O' U' Receipt No.
t 1./<:A / ]0
~ato g,. ;r d--6;r By C'~~
v
.{,~::.,;.:.;. '~.l:t: (,~:;-;:).
.':' /, F.:~i':;l IOil Becom.es Your Building Permit When Approved
~._~ -" ~ -,....--.....,..,....,.................. -
t)~!~!"~1 r. om~131
--'
__u__'___' ..-.......~....-
24 hour notice for all inspections (952) 447-9850, fal (951) 447-4245
CITY OF PRIOR LAKE
INSPECTION NOTICE
TIME
SCHEDULED ~.. 30' J- If ~ J
/ '? 3 L/?---' I !!o.M)'y,ULrJ&
CONTR. U
~_ /0 35""'
DATE
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
COMMENTS:
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP J 0 FIREPLACE FINAL
o PLUMBING FINAL '"Pt- 0 GASLlNE AIR TST
o MECH FINAL ~
!/:J-() J;ofJr
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:,:o~CT4.rOR REINS:::/:::FORE COVERING
.....
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl