HomeMy WebLinkAboutPlumbing Permit 08-1030
tA~ TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED l ,{,~ tJj 4--~c;:::p
6f 43 ~cb i ~L-
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
8 .-Io~~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI 0 EXIGRAD/FILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FIUAL' 0 GASLlNE AIR TST
o MECH FINAL 0
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A _ _ "" /'-
J4Pf-J?L..C LY~{
'rfwORK SATISFACTORYfJ~O EEO
o CORRECT ACT N NO EEO
o CORRECT ~LL ~'NSPECT'ON BEFORE COVERING
Inspector: f<.... (, Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
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~~
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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 (1 or 2 compartment sink
I Shower Stall
I Sinks
Bar Sink
Water Closet (Toilet)
(Please type or print and sij1;n at bottom)
ADDRESS
3Lf13
Cl .--- .
;;;)JYUctJ I ra, I
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER .
(Name) ,,--JD Ill! .41) f/ r
c.'
\, XiryX2.;
(Address)
H j' fir I~GKk0. lY1 N '
I
I APPLICANT
(Name)
f 1-:~I'''-:--'~If!Y''l
pre,., , ':.-1')
(Address)
(Contact Person)
APPLICANT SIGNATURE
Quantity
1. Blue File
2. Gold City
3. Yellow Applicant
PERMIT NO.8. I 03~
ZONING (office use)
PID
(Phone) Cf5-~ -4'-/1 ~ I o Lib
:) ~:j 3-7'~
(Phone)
(City)
(Zip Code)
0~-j <?J.o s- }. ~L\ 0
DA;E (2-1_2 -06
(Phone)
Type of Fixture
(
Rough-ins
I Water Heater
I Water Softener
I Stand Pipe (Washing Machine)
I Sewage Ejector
I Backflow Assembly
I Backtlow 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
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
BuUdinl! Official
Date
~ '-/1,5'0
_ ,50
~JU . L'Q
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:ptNO
j
3 s~ fy'
~[u:s
Paid 50; C/O
Date ,./
/l.. -z.... 9, Off
5718 to
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372