HomeMy WebLinkAboutBuilding Permit 08-0723
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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TIME
ADDRESS
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
08.0723
o FOOTING
o FOUNDA liON
o FRAMING
C INSULATION
Il"PtNAL
o SITE INSPECTION
o PLUMBING RI 0 EXIGRADIFILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GAS LINE AIR TST
o MECH FINAL 0
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COMMENTS:
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTI
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(Please tyue or orint and si~ at bottom)
ADDRESS
~~ ~~ ~::y I PERMIT NO. Q() . 0723
3. Yellow Applicant U
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ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
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Appli8lnCA Connections Inc (Phone)
1313 Danita Cr
(Addres5hakOpee, MN 5531S
952-445-4803
/1 (Phone)
'I11!lt ..i DATE
PLICANT PLEIZlcOMPLETE BELOW
Type of Fixture Quantity I
Bath Tub with or without shower I RQugh-ins
Dishwasher ./'iWater Heater
I Floor Drain V Water Softener
I Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink I Sewage Eiector
I Shower Stall Backflow Assembly
I Sinks Backflow Assembly Test
I Bar Sink I Lawn Sprinkler
I Water Closet (Toilet) I Other
(Phone)
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(Address)
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APPLICANT
(N ame)
(Address)
(City)
(Zip Code)
(Contact Person)
APPLICANT SIGNATURE
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Quantity
Type of Fixture
FEE SCHEDULE
Industrial, Commercial & Multi-family I% of job cost with a $39.50 minimum
Residential, New One & Two-Family $99~'iO
Residential, Additions & Alterations L: .
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
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(Office Use Only)
This Application Becomes Your Buil,ding Permit When Approved
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Buildine Official
Date
Date~ ,./
7, z,z, ~ (JO
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
.