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04-0601 Plumbing Permit
CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS ~tfY,2 OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION COMMENT~: A"-'k ." fLit)' f / , V' /(~/h'5 0" TE TIME SCHEDULED ~~~ #7/cres T &/ CONTR. PERMIT NO. L/-foo) o PLUMBING RI o MECH RI o WATER HOOKUP h1EWER HOOKUP ." PLUMBING FINAL o MECH FINAL o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ~ J& ~/~ 9~ // <::)~ vi' /1,1 ."! ?//~ ;7 J{J -# - ;H.s.JT /cJ;20 ,fr:.,. .... ~7S"r: ~ E'-.. /:7; /" ~e ~k ktt:?~l"f~ ~d , ~ - // ~ . ,.. / j~ ~ : p,;, . "''''4!Jt7r ,;,,~//: ~ /WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK.~.~AL~L7 FO REINSPECTION BEFORE COVERING Inspector: ~ Owner/Contr: , . CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE., CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! UiSNOTl Date Rec'd CITY OF PRlOR ll}-\KE Pl.UJ\.IBING PERMIT I ~Iue File- PED'lIT NO . ; ~~:~~ ~~~liCW~1 ,N' '() L/'" 0 01 (Ptea..<:e N't'e or prir.~ a.nd.,i~;u bottcm) A:-'DRESS ~~~~ ~:tlCC~r --- ~, ~ ZONING (office use) ! R I> t) I LEGAL DESCRIPTION (office use only) ! LOT I hBLOCK L/ ADDlTf!)N {2Mv j~ tJrD~S-D/r;-01oro o \,'NER T~'lv) lu~e~ (Ph0r.~) e:r~'t-' tfc.f'1- tf'f"~ {, T ., ..-r\ ..~", .....;. ..:..L.iLI..""} ~__ I~~dr"~"~'~) ~~e,- APPLrCA1~T.' ^ A_~ ,(l M~ V'E;>t Il7/L 0 0),,' ame) .,... ROJ\.5 , '""V Vi .. \ \ ___ (Phone) q51.. .. "" ..,- - ]..0 2.- : (Addrcs:) P .. <9 4- ~o-V ') { ")...- C~ ~A ~ -SBV\ ., c:S:~"3 \ 7 ' (A 1.-\" 1 res,)} (City) (ZI? Code) . l Contact Person) U-I\ V'e. ~ k 5 Y\{\"t fl.- ~ __ :211,_,"" I 35' 'Z-_-:- ..1'1"-- 0 2-1) Z-- .. PPL'CAN, SiGNUlJRE Q~=c~~- _~. DATE!i' _~-O i ~ Quantity APPLiCANT ~'LEA~:E COJ\fPLETE BELO\V ~- -..-......1-.....-...... --..----.-..-.-- . Type u{ Fh.turt i Qu~\nt~l~' Bath Tuh with 01 \vithout shower -- OishwaiE~~r l~ii)~ Qf 'Fixtun~ L__ ! L~~~n(!r:/ 'Tr3'/ (l ,::r 2 corr~pJ.rtn1ent sink - Sll<Jwer Stair-- I Sink~ i Bar Sink ; vi~lter Closet ~Totit:t) r- --- I Rough-ins I \Vater Heater I \\/ :1ter Softner J . Stand Pip~ \\Va:;:hing Machine) I Sewage !:=jt~~tor ! E('icktlow AS:.tmt;y ; Ba~ktlG,,'....\s$e:nb!y Test i F!(I()r J)r:;tin 'I 'Lavatory (Bathrcom Sink) .1__ Lawn Sr::nkler J C'tl1cl -1 _-L-__ I'LE SCHEDUJ.E InduSlrl.ll, Commercial & MulH-family lO.Q of job C0.$[ with a $39.50 minimum R~sidential. '!\:cw One & T.....o-Family $99.50 Residential, Addiricn:; &. AH~";:J.ticr.$ $39.50 E~!imated C()S~ S S\CS~~ Building rermit ::; PLU~1BING PERMIT iEE ~ STATESURCBARGE $ TOTAL PEfu'IIT FEE S "3~. f!) .50 -2. tt . SO :; ----. -'"-")ffiu' US~ Only! Thi~ .Appli("~tion R."'~ome., Your Rui1din~~ Permit \\'hen Approyed Bulldil\\; (){(icilll Ihtc ! P~id l/ O~ ----- ~lJt~ 6~/1~t{ : R~ceiPt~vhr;i;ci ; Bv · , .~ C/ ...., 1~ hour nutice fur ::H ~nJp{~~t:o:;:i (95~) ..!47..98:0, !~~ ,9S;!) j~'7-:.!~!5 J62flO F:i~!e Crt't"k Ave., S.E., Prior La~e, '-I:"; 553'7:!.-17'J =