HomeMy WebLinkAboutPLMBMG 08-0658
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
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I
ADDRESS
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
8 - ~~~
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
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
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COMMENTS:
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o CORREf2K' CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CAL 7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
8 . 2.2.-" ob
(Please type or print and si~n at bottom)
ADDRESS ,
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LEGAL DESCRIPTION (office use only)
ADDITION
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(Address) J l.QLf6( TYJJ1 kl-t'v1 I VW\t Sf:?
APPLICANT \. ( IFI ^ '""' ) I, . 1- /'lb
(Name) I\JOY1?uv \ ltU.Yy I lY1C/
(Address) ~qO'S WMcl ~L-~.
(Address)
(Contact Person) C .afJi)~ ./J Cl_
APPLICANT SIGNAT~~RE (/1)/ ~C--
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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)
Quantity
BLOCK
I. Blue File PERMIT NO og
2. Gold City . . O(p,5<A
3. Yellow Applicant 'V
ZONING (office use)
PID
(Phone)
( q5~)LjLf7 - 6DQ5
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(Phone) ml ~ ~ ri-l - t../ D b.~
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~1 pLo 664QS
(City) (Zip Code)
(Phone)
~TE
Type of Fixture
Rough-ins
Water Heater
I Water Softener
I Stand Pipe (Washing Machine)
I Sewage Ejector
I Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
I Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $49.50 minimum Residential, New One & Two-Family $ 149.50
Residential, Additions & Alterations $49.50
(Office Use Only)
Estimated Cost $ zJ1JJ~
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
This Application Becomes Your Building Permit When Approved
Buildinl! Official
Date
Building Permit #
$
$
$ '5U.UJ
.50
Paid 50,00
Date 6. 2:1,,0 e-
RecepNo. 55 (P50
By
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24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372