HomeMy WebLinkAboutPLUMBING 08-0116
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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ADDRESS
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CONTR.
OWNER
PERMIT NO.
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COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o ~1CH FINAL ,
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
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#WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT 1,' ":''t7R REINSPECTION BEFORE COVERING
Inspector: t 1/ owner/Contr:
CALL 441-98.. FOR THE NEXI)NSPECTlON 24l!9URS IN AQY~,NCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
3.z..0,08
~.:~ ~:~ I PERMIT NO. 0'0,0111
3, Yellow Applicant () \P
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
505'-1
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5S37~
LOT
LEGAL DESCRIPTION (office use only)
BLOCK
ADDITION
PID
OWNER
(Name)
(Address)
APPLICANT
(Name)
(Address)
(Contact Person)
Pclv-
505L\
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2\u.. ~~ ~ €.\j h-tS
5(
(Phone)
-rr~11
C~LUG/\N \flATER CONDITIONING
6030 CULLIGAN WAY
l~'ll~~NK, A, Mt~ j3J~:i
) 933..7200
(Phone)
(City)
(Zip Code)
~E~
..j
(Phone)
DATE
3-t~or
APPLICANT SIGNATURE
J
Quantity
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)
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
(Office Use Only)
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $ d 00 . 0 U
Building Penn it #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
Li9 .50
.50
50. 00
Building Official
Paid 50.00
0_.. I Date 3. u.-o(
City of Prior Lake Bldg. Dept.
4646 Dakota Street Southeast -4245
Prior Lake, Minnesota 55372 I
Phone: 952.447.9850
FAX: 952.447.4245
Rety No. ,t::;c:::;:c:;~ 0
B~
This Application Becomes Your Building Permit When Approved
24 hour noti
16200 Ii
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