HomeMy WebLinkAboutPLMBG 05-0110
THIS FILE HAS BEEN
CLOSED DUE TO
INACTIVITY 4/18/2008
KD~UD~.l .l'\_Il'\..~' ~: l..J
INSPECTION cn-" ro
HOMEOWlV) 6
Date Rec'd
dBING PERMIT
Z.9.05
I. Blue File I PERMIT NO I
~. ~:~w ~~~Iicant .05. 0 I J ()
ZONING (ol1iceuse)
12- ~s ()
LEGAL DESCRIPTION (office use only)
LOT Z BLOCK J ADDITION I3LOHfvt'S I g;-
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PID z..5",000. OOz...C
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APPLICANT PLEASE COMP T 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 REQUEST FOR FINAL
Bar Sink INSPECTION SENT TO
Water Closet (T, 06
HOMEOWNER 10-
APPLICANT
(Name)
CULLIGAN WATERCONOITION!NG
6030 CULLIGAN WAY
MINNETONKA. MN 55345
(A~fil) 933- 7200
(Address)
(Contact Person)
APPLICANT SIGNA TU
Quantity
.. LJ.LJ u'-".....~., \J.LI.I:J
Industrial. Commercial & Multi-family 1% of job cost with a $39.50 minimum
Estimated Cost ~ .C50
(Phone)
(City)
(Phone)
(Zip Code)
DATE ~- (r;--c:x::;
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
Residential, New One & Two-Family $99.50
Residential. Additions & Alterations $39.50
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=t.~
.50
Lk:).OO
Paid ~ /V
'/v,(.
Dat~ J 0, () 5""
Receipt No..f"&t;. 9'0
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