HomeMy WebLinkAboutPlg Permit 02-0996
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
(Please tvDe or orint and sign at bottom)
ADDRESS
1Lf-?J?-1 vVa+6rSe~ 'TraiL
J
1. Blue File PERMIT NO 90 '+
2. Gold City ./) \ _ .
J YeHow Applicant (./ C"
~NING (office use)
I~ is' 0
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION ,i3rn~ IJI/tvJttf-t../
-:;;..- 1
OWNER
(Name)
; rY1.ar ,"CYl.J
VvQ krFlr1iJ~~ TraiL
~~~;~~ANT N OYl?l OYnPLum bi nC1
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(Address) 2Ct OS f:J ar f{ f { a /hI.~ 0 .
(Address)
(Contact Person) -J er-r- N OY kJ ( DYYL
APPLICANT SIGNATURE ~_
(Address)
r
'4-?J21
PID ..:25""- I' q-oLfS--()
(Phone) (qc:g) Lf{)7-; - J!jj)'g
(Phone) (LPI'J) 317 - 4033
mpl S . 55LjOg
(City) (Zip Code)
(Phone) (l/J12-) g~ 7 - '-IO~'3
DATE f5/ g I OJ-.
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity I Type of Fixture
Bath Tub with or without shower I Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
I Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink I Sewage Ejector
I Shower Stall I Backflow Assembly
I Sinks I Backflow Assembly Test
I Bar Sink I Lawn Sprinkler
I Water Closet (Toilet) I 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 $
I.fOO. 00
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
3<6.re
.50
LfO .cg
I
Paid OU Recei1?t N~L)
40 I l/c)-7 ~.J
Date Date ~/ I L( ~() a- -By ~ C/
V
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
This Application Becomes Your Building Permit When Approved
Building Official
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/43L.l
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED }-/<..(
~ 4 rhr..s ~4.:c..
CONTR.
PERMIT NO.
2 - ~f f,
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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$ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: <<3-14-0'> Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
UtSNOTI