HomeMy WebLinkAboutPlumbing Permit 08-0413
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/ &34-5
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
11NSULATION
FINAL
. SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: LA f1/ tV I /Z1Z16
/
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I
TIME
8.4/3
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
}l WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRE9-T WORK, CALL FOR REINSPECTION BEFORE COVERING
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Inspector: I ,> Owner/Contr:
, ,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(Please tv1Ie or JJrint aDd sial at bottom)
ADDRESS
f l23Lts \/ l'r1-0;( \~ L~Y-ve St
1. Blue File I PERMIT NO ~
~ ~~w ~~icant . 08_ 0+/--1
ZONING (office use)
LEGAL DESCRu uON (office use only)
LOT BLOCK
ADDmON
PID
~=e~ll~ \ \1\' \ 'y\~ . (Phone)9CJ2-tj!//}!J;q$/
(Address) llcGJ~ \)\~-\nY'(L 0llr\J~J ~L. (~L~ ~5l;))
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~~~~~ /-l-a -J-/-/(J. :I P/t1 //7C. (phone) 9s-a- (jI/O'371 OJ
(Address) II/~IJJ() A /I; 'Jf7-fr)l/l/J/) .R! (JZL,,) 5!::;31/-
(A~ (City) (Zip Code)
(ContactPmon) Susan _yh ~4,JL. (Phone) 1: y~. i1~3
APPLICANTSIGNATURE nI1(;( /fJ( lc~ DATE LP /1(0 /et
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture I Quantity Type of Fixture
Bath Tub with or without shower I Rough-ins
Dishwasher I Water Heater
Floor Drain I Water Softener
Lavatory (Bathroom Sink) Stand Pipe (Washin~ Machine)
Laundry Tray (1 or 2 compartment sink Sewage Eiector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) 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 $
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
LIe,. ~
, ,50
-c;7) . b~~
$
$
$
(Office Use Only)
Bulldint! 0fIlcla1
I Paid 50 (,(l)
Datt,{ vol /0 b
, I
24 bour notice for all ins. . .:" ,0 (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
Date
II
ReceffNo, Sf, 07 6
IBy
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This Application Becomes Your Building Permit When Approved