HomeMy WebLinkAboutPlumbing Permit 09-0356
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS . I ( /),,9/1
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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:
DATE TIME
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE A!B TST
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~K SATISFACTORY, PROCEED
o CORRECT ~ION AND PROCEED
watm, CALL FOR REINSPECTION BEFORE COVERING
Inspector:( L--If-/ Owner/Contr:
,CALL 44j~o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
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I. Blue File
2. Gold City
3. Yellow Applicant
I PERMITNO.O~ ()~~h1
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(Please type or print and si2n at bottom)
ADDRESS
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S\ 12. 1""'- rY\ Q..-v-
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(\J'd 5537'1
ZONING (office use)
keY
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
5v.J; e
Ibd-91
ir' q ~J DW
(Phone) 61 d. -59 <;( - ~OY~
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S~evY\~r
(Address)
APPLICANT
(Name)
(Phone) .~~
CULLIGAN WATER CONDITIONING
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(Contact Person)" r~.52_D:33-7hOO.lt.
APPLICANT SIGNATURE U -/ ~~
(Address)
(City)
(Zip Code)
(Phone)
DATE
5- J7- 01
'0..1
Quantity
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
I Dishwasher
I Floor Drain
I Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
I Shower Stall
I Sinks
I Bar Sink
I Water Closet (Toilet)
Type of Fixture
Rough-ins
Water Heater
I Water Softener
I Stand Pipe (Washing Machine)
I Sewage Eiector
I Backflow Assembly
I Backflow 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 $ ~ 0 0 l DO
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
LfCf,S0
.50
.50.00
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid 50/ d(J
Date/ /(.4. Ci
Buildine Official Date I.(' . I ' /
24 hour notice for all inspections (952) 4~7-9850, fax (952) '/"-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
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Rec1;1No. 58170
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