HomeMy WebLinkAboutPLMBG 05-0657
'V OF PRIOR LAKE PLUMBING PERMIT
J.iliQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 01-06
THIS FILE HAS BEEN
CLOSED DUE TO
INACTIVITY 4/18/2008
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ADDRESS
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Date Rec'd
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. ~~~ ~:~ I PERMIT NO. I)!): Oft; C7 I
Yellow Applicant , ~ / ,
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
(Phone) ~C; )..4~t) ,c:..1>~
OWNER
(Name)~Oo\\ Lc:l\n~hOYCb-r
(Address) ~C\m-c..
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PID zS: ~2.. r oj t .0
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APPLICANT
(Name) H-P? \ p-e...\lVCr~~
(Address) '6b1D ~oobl ~
(Address)
(Contact Person)
.PPLICANT SIGNATURE
(Phone)
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\o~l?C-C;; l?~ 0
6'5 \1.., ~
(Zip Code)
(Phone) SC1. V)"\..c.,.
DATE ~r')...9l0S
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain 1 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 REQUEST FOR FINAL Lawn Sprinkler
Water Closet (1 Other
INSPECTION SENT TO
HOMEOWNER 10-06
Industrial, Commercial & Multi-fam
Estimated Cost $
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
-_JOffice Use Only)
fhis Application Becomes Your Building Permit When Approved
Building Official
Date
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Building Permit # 05. tJ~ 5'7
$ a~. SO
$ .50
$~.CO
Paid 4'0 .00
Date 7,. &;. fh
ReceiptNO'4q7~
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
40.CO ~