HomeMy WebLinkAboutPLUMBING 07-1077
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/738/
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
COMMENTS:
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DATE TIME
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W.OPJIJt"R REINSPECTION BEFORE COVERING
Inspector: J/ fir Owner/Contr:
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CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
LNSNOTI
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec' d
(Please type or print and si~ at bottom)
ADDRESS
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LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
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Champion
651-365-1340
3670 Dodd Rd. #100
Eagan, MN 55123-133~
OWNER
(N ame)
(Address)
APPLICANT
(Name)
(Address)
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I Blue File I PERMIT NO
2 Gold City . 7. 1017
3 Yellow Applicant
ZONING (office use)
PID
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(Phone) %'J-LiY 1-5 fa-!
o 537~ '
.)(AddreSS),
(Contact Person) k( i 5 0 '- en
.PPLICANT SIGNATURE ~A~a/IT9
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(Phone)
(City)
(Zip Code)
(Phone)
DATE
I ()- ;J.1-orJ
I
APPLICANT PLEASE COMPLETE BELOW
Quantity I Type of Fixture Quantity I Type of Fixture
I Bath Tub with or without shower I Rough-ins
I Dishwasher I Water Heater
I Floor Drain I 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
Estimated Cost $ d- QD ' Ol)
Residential, New One & Two-Family $99,50
Residential, Additions & Alterations $39,50
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOT AL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
L3q '70
.50
t{O. ()\L
Paid +0, UV
Date I ( f. r/l
11
;;!' No. 557JVS
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24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
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