HomeMy WebLinkAboutPlg Permit 01-0919
CITY OF PRIOR LAKE
1Zl001
CITY OF PRIOR LAKE PLUMBING PERMIT
.
Date Ree'cI.
"
~~tr* . ~1t1lo1mm\
ADDU$S -.
3DSUJ \~(Nf'Yl_~~~ ('.I :.,
LEGAL Dna . mON (olb II. cmly) . . ~ J
LOTI::/- BLOC!: (. ;;(ADJJJ.UON-!1 rriZ/u.-~ (lJi.AJ
. OWNER
(Name)
(AddreeI)
I. .. Plll I pSODa.rYT NO .
I. Gold Clly ......,..TU .. . /)
3. YIlleIrt ~IIIII (/,
"Th VV'\ m~a& r~ \ t-
. ~ ,
. ~aSl \A-ctAYle~~ c'l ~
,
~~~l2vckVY\~lle.<. ~~tNc.. (PI>oae) -fpn -I..rv-~~.
(AddzeIe) ~~q t q:;ej\)\JS~JI~ ~~ 7:~"'~jo\J 'S-J.1.2:,.~
(A4J. ;'101') ~ - (Zip Code)
(CoataetPenon;! ~~ - . (Phoae) (PI L-- a(JS- ,..S~~~
APPLlCANTsll:iNATtJRE ~ is - 1:::.. 4!.. . DATBaJ..:#/ () I
I " . ,
f3d- pm,.2s--31oO-007-Q
, (Phone) -,~rz.-~q~,;,. ~7h~
. APPLICANT PLEASE COMPL& l.1li BELOW
QUIltlt)": Type ofl'bture QUIlttty I T.vpe ofF1Dare
': lllth Tub with or without Ihower i Roup-tn.
,.
1I: tishwuher I Water Heater
I !: loer Drain I Water Softner
t: .avatory (Bathroom Sink) I Stand Pipe (Washing Machin.)
";: .aundry Tn] (1 or 2 compartment sin1c , StwIi. Blector
f :: bower stall ) Baclct10w Alsembly
Ii: inks I Baclcflow AlMmbIY,T.t
. ,; IIf Sink I . I LaWll SprhlkJer
:i: ~ator Closet (Toilet) ,I Other
BE S...adJVLE
Indllstrilll, Comnl. Ida! & Multi.famlly 1 % of job COlt with a $39.50 mlnial\am
RcaidOlltill. New Ono A Two-Family 199.50
R.elidtntill, Additions II: Alteratfcna S3~.50
. [
Estimated COlt $
Buildq Permit N
S'l ,SO
..50
~.o~
PLUMBING PERMJT FBB S
STATE SUR.CHARGE S
TOTAL P.DMIT FEE S
(Ol'lla v.. 0111)/) :
TbJt A.PPUcatIJ . BeCOID.. Your BUllcUB. ..rml' WItu APPI'O\I'd
I
IuIIdI"'!'~ IIIIda1
l}laad /fOIO() K_Wt~~
I Date . By'
Date ~- ;).4....0 ~
U laour Botlu lor aD ....,.tio.. (H2) ~'7~ fill (H2) 44'1..Q45 V-
.
CIJY OF PRIoR LAKE
INSPECTION NOTICE
SCHEDULED
TIME
~-3':J-1 J,~ Ir
//;~~-r-
DATE
ADDRESS
6oS;-7
OWNER
CONTR.
PHONE NO.
PERMIT NO.
MLUMBING R1
'D'MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
1- 9/q
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o EXIGRADIF1LLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
)aunt) ~
.
nJ:::.
- -
r. r
~ _(9~ e 1-\ "'If>
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~T WORK, ~LL FOR REINSPECTION BEFORE COVERING
Inspector:~ 1 [rtAA t4- Owner/Contr:
CALL 447-9850 ;OR THE NEkr INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI