HomeMy WebLinkAboutPLMBG 06-0554
THIS FILE HAS BEEN
CLOSED DUE TO
CITY OF PRIOR LAKE INACTIVITY 4/18/2008
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 10-06
LEGAL DESCRIPTION (office use only)
LOT I BLOCK 'i ADDITION
OWNER r'\ \ I .
(Name) --1::1LI , ~
(Address)
APPLICANT
(Name)
(Address)
CULLIGAN WATER CONDITIONING
G030 CUUJGAN WAY
MINNETONKA, MN 55345
(Address~9S2) 933-7200
(Contact Person)
. l'PLICANT SIGNA TU
APPLICANT PLEASE COMPLETE
Date Rec'd
,w ~~~Iicanl I PERMIT NO'L? b - 56+,
ZONING (office use)
~0@
PID
-?J
~~ 0- 08120
(Phone)
(City)
(Zip Code)
&;/51 t5LLJ
OW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain I Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) 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 ~.dD
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
,:~.50
.50
L-.Q.(ID
Paid
Receipt ~ /'755
By
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714