HomeMy WebLinkAboutPlg Permit 02-0869
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(Please type or orint and si2n at bu..u~)
ADDRESS
55J.4
~::~ ~!~ I PERMIT NO. ~ ') _ c> /_ d
3. Venow Applicant { //71 <:f C/ II
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ZONING (office use)
PUO
LEGAL DESCR.ll'uON (office use only)
LOT L/BLOCK / ADDITION
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rY\o\I\D L~
SO-V\'\..i
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OWNER
(Name)
(Phone)
90d-440 -~(glP3
(Address)
~;;~~ANT 1\ -tUff) V\ CS
(J)()~ 1 , ~
(Address)
t)eY\.Vlls
APPLICANT SIGN:ATURE ~
(Phone)
l.o \d -80 \ - 6;:)l.PO
mu 66311-
Quantity
G~ll6SeYl
(City)
wedCjl
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APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
(Zip Code)
(Address)
(Contact Person)
(Phone)
S<l.ft\-L
DATE
/- /~-O~
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
)(
FEE SCHEDULE
Industrial, Commercial & 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 Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
:> C; ~~
.50
YO DO/
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
-
paiddl~~
Date 7-11:,- ~
Rec2i~ d-6
By {)e/
u
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
5SO?L/
t
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:
~
DATE TIME
c;2-g'6Cj
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
Spr K/v
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~ORK SATISFACTORY, PROCEED
,
6 CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: q ,... j,j:;'- c.c.:) Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETYl