HomeMy WebLinkAboutPlg Permit 01-0915
~
l..I I i OF PRIOR LAKE PLUMBING PERMll
Date Rec'd
APPLICANT PLEASE COMPLETE BELOW
Tyge or Fixture , Q...ntity
Sath Tub with or without shower ~.
1 Dishwasher , .-l- ~/
Floor Drain \ " , lV
I LavalOry (Sadtroom Sink) \...I'-' .. ,
! ~:~~7 s~~y (lor 2 companment sink 1 Jj)~
,. \
Sinks ""\
Bar Sink ' \
I Water Closet (Toilet)
CPlcuc ~ or.anJ~~ .......1
ADDRESS
\ ~ \'\0. cc.. \fa.~S\O()
LEGAL DESC~ & .ON Co..... oaIy)
ADOmON ~St' h ,mtll!.ef~
, ~-'.. ,....._, , ""'"
LOT
SLOCK
OWNER.
(N ame)
(Address)
~;;~~ANT Sc1'\Q(flX" Q\um\)\~
(Address) l.\~CO ~ d.t"\Q.r\ ~\'fC..VL S~
(~)
I (Contact Person) ~ CSc.\"te.YQY
APPLICANT SIQNATU~ ~
Quantity
'\
FEEs...
Indu$trial. Commc:rc:lal&\ Muld.llunily 1% of jab cast wirh a $39,50
I..... FU.
1 011I' Cie
J. y.... A~'
PIC
(phone)
(Phone) q'"5~ ~ l.\\4I- Ie 13L\
Yrior k.~ 5~3/2
(City) (lip Code)
(Phone) lo\'L - 14,... '?xjS 3
DATE ~l--z.o}D\
Type of Fixture
Rough-ins
W lbit Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector .
Baekflow A$SCmbly
j Sackflow Assembly Test
I Lawn Sprinkler
I Other
Residenti.l, New One &. Two-Family 599.50
Residential, Additions &; Alterations $39..50
~_d COlt S Buildin& Pc:nnit ~
PLUMB~ PERMIT FEE S ?;q. S0
STAn SUR.CHARGE S .SO
.. v aAL PJ:.RMlT J'EE S 40 , Or )
(omcc tJ... Onl)')
This Application .com. Your Buildllll Per.it When Approved
8u"d.... 0...1
DI.
Zt 'ollr _Cia far 11I1..peed... <_) '''.'150, 'II (952) 447-41'5
P.i~ Llo.OU
Date 8- ;? 3-0 I
RcceiEl~oB g> f:.
.BY~
f
<'
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED $t, _6...3 A. r:
[J~
ADDRESS
/ (p / 9q
, ,
OWNER
CONTR.
PHONE NO.
4J1-'1/~
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
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o ~,-
/1
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-If
I'
,',,1
,:
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COMMENTS:
(~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~ r Owner/Contr:
~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl