HomeMy WebLinkAboutPlg Permit 06-0530
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
APPUCANfSIGNATURE "'- ~ ~_ Wl-
APPLICANT PLEAsi]COMPLETE
Type of Fixture I A Quantity
Bath Tub with or without shower I
Dishwasher I
Floor Drain I
Lavatorv (Bathroom Sink:) I
Laundry Tray (1 or 2 compartment sink: I
Shower Stall I
Sllllffi I
Bar Sink I
Water Closet (Toilet) I
FEE SCHEDULE
Industrial, Commercial & Multi-family I % of job cost with a $39.50 minimum
(Please type or print and 8Utn at r. , ',."", )
ADDRESS
/128'9 :b6l1re ("~_ AlF
LEGAL DESCRIPTION (office use only)
LOT (?J BLOCK ( ADDmON r ;UO b f:-) /' / !
OWNER J
(Name) (Iat?
(Address)
~
~
APPLICANT
(Name) t'\ ~"...)'~)\~ \tJ E.\'.l... E-
(Address) l a \ L\ 3 @ ~ S~
(Address)
~~~\J6
(Contact Person)
Quantity
~: ~~ ~ PERMIT NO. ()~ .- S~ :2J.A.
3. Yellow Applicant -~
ZONING (office
use)
-D...
c0
PID (:.{ ~.- - :3(,6' cJ /5 - ~ ~
(Phone) crs 2. 94 1-12~ 3
(phone) 19 \d . 80 \ - 5d to 0
\-\U-t~ 55\~5D
(City) (Zip Code)
(phone)
DATE
JELOW
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Eiector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
,
Residential, New One & Two-Family
Residential, Additions & Alterations
Estimated Cost $ , oOQQ.. Building Permit #
PLUMBING PERMIT FEE $ .3Q . f)Q
STATE SURCHARGE $ 0 .50
TOTAL PERMIT FEE $ 4. 00
(Office Use Only)
This Application Becomes Your Building Permit When Approved
BulJdin2 Official
Date
$99.50
$39.50
Paid L(6 '-
Dateb-lq- ~
Receipt ~ /)Lf3
ByC?
o
24 hour notice for aU 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
SCHEDULED
ADDRESS , <-{ 2..e 't ~ , Q..\...
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:
()l.z +e ~ko ~
DATE TIME
I~
(p - 530
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
if L,,~ ,,, S{J.d ..\< ~
-
~\'\j.)
I
I~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT 4RK. CALL FOR REINSPECTION BEFORE COVERING
)j
Inspector: ,/ / / Owner/Contr:
, ) V
CALL'44'f'-~850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl