HomeMy WebLinkAboutPlg Permit 02-1447
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
(Please type or print and sign at bottom)
ADDRESS
I. Blue File PERMIT NO -
2 Gold City . /'i '1_ 1/-1/), 1
3 Yellow Applicant ( /0 -f"1 II
'404'L Wa-t-used46 -Trl. tJe.
J
ZONING (office use)
K/5)[j
LEGAL DESCRIPTION (office use only)
O(9-Urlt/11 /)
filaMW
PID f~~- /1 1-0 LJ~()
OL50n, Dona/let
(Address) 14.3Y1- \!Va kr-sc:aQ-0 'Trl.
v
1~;;~~ANT 1\1 Dr vi am PLum 0/ n CI
(Address) ),1105 8M frf fa /tV.J 6u.
(Address)
(Contact Person) veh- f\1 oYbl ~
?~
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)
LOT BLOCK Id-ADDITION
OWNER
(Name)
APPLICANT SIGNATURE
Quantity
(Phone)
Nt. '
(Phone) (W/2/) <[;~7" 40 ?/3
,m Q)S55LID6
(City) . (Zip Code)
(Phone) (LI/ b) ol/?~Lf () ~~
DATE 10/10/02,.
Type of Fixture
Rough-ins
I Water Heater
I Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
I 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 $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
-3 tl- ,CS-O
.50
LIO
Paid Lf~. -- Recell'-'936
Date n.--" By
1 0- 3/-0cr
rA'/
?J-
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
CITY OF PRIOF: :LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/4 )cIL
f.,vq/ys rcl.1C'
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:
LA/C( l-v / (*1./ L-
I
~ ! 0~(!_ .f~" 1-<_-
I
..
DATE TIME
I()-). -:3
q , (///
I Li L\1
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
(j]
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT/f1lR CA.L.L FOR REINSPECTION BEFORE COVERING
'J{)L
Inspector: I 0 - .I- , Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
lNSNOTl