HomeMy WebLinkAboutBuilding Permit 08-0537
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS I LlI4(JY. 3orr"-L CJA
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
~LUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
~Z,~
~ -f53>'7
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
ROCEED
OR REINSPECTION BEFORE COVERING
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(Please type or print and sie;n at bottom)
ADDRESS
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LEGAL DESCRIPTION (office use only)
BLOCK
ADDITION
OWNER
(Name)
(Address)
APPLICANT
(Name)
(Address)
(Contact Person)
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(Address)
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APPLICANT SIGNATURE
DATE
Qua~
I
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I
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; ~:~~ ~:~y PERMIT NO. 08~ [15..).)
3. Yellow Applicant
ZONING (office use)
PID
(Phone) q s- J. - ?"31- I.f9,)~ ,
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(Phone) 7 r }-
S;Av'~
(City)
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(Zip Code)
(Phone)
t/)- ~( (17J I
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (I or 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Type of Fixture
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 I % of job cost with a $49.50 minimum Residential, New One & Two-Family $149.50
Residential, Additions & Alterations $49.50
PLUMBING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
Building Permit #
40.l) '0
r .50
0D {C
$
$
$
Estimated Cost $
(Office Use Only)
Thffp'Plicati~.n Beco~~s Your Building Permit_':hen Approved
ID~ J,0-'1f/ ~d/V- 7 /2 ~/[r
Buildin!! Official Date
Paid .)t ii t
Dat7 / 2-'Sflg
Receipt NO.5GJ ~s"
By .1:lt r
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372