HomeMy WebLinkAboutPlmbg Permit 08-1008
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS C;(o4 cr (1lr6<~
"- ~ -
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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8 - /:eJoA
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLI~E AIR, "f~.T .
fl..~l)hT~ ~
~wn~K !::4TI~~4~TnRY PROCEED
/" ...-....-....-...-.-..... ..-----
o CORRECT ACTION AND PROCEED
o CORREC71CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CAL ~7 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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CITY OF PRIOR LAKE PLUMBING PERMIT\,
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2. Gold City
3. Yellow Applicant
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PERM-T, ;r~9-,-~1) ,~o-Gi;-I
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(Please type or print and sign at bottom)
ADDRESS " a 6- d
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ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Address)
/31Julr;- ftj)feJ
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(Phone) 1d2--C(27'-22b'
Prior fAJ42, mN- S537:)
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APPLICANT
(Name)
C':-2~nr\'!:.)\1
(Phone)
t~~""\ . -,..... :,;-:;.. l,::.L,J
(Address)
3.370 [c "c~c; ;t100
(Contact Person)
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>''1T}'''' , ~'''\: y' I / " , 'y'
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(istJifA')
(City)
(Zip Code)
(Phone)
Quantity
t>E.
A LICANT 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)
DATE
/2--1-08
APPLICANT SIGNA TlJRE
Type of Fixture
I
Rough-ins
Water Heater
Water Softener
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 $49.50 minimum Residential, New One & Two-Family $149.50
Residential, Additions & Alterations $49.50
Estimated Cost $
Building Permit #
PLUMBfNG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
dl/R- 5' ()
, .50
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Ref1t NO'S7 / (,S-
sV
(Office Use Only)
Buildin!! Official
Date
Paid.6 0, UO
Date r/
/2.."IZ-.06
- ,
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
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