HomeMy WebLinkAboutPlumbing Permit 03-1136
DATE TIME
CITY OF PRIOR LAKE /0 -(.-tJ3
INSPECTION NOTICE SCHEDULED
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ADORESS S'iJI'I (J.J,.J, ""~ / e,~L "
OWNER CONTR.
PHONE NO. PERMIT NO. '""<- 1/7i.
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
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o EXIGRAOfFlLLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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~RKSATISFACTORY. PROCEEO
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: (~ro{;,..(}) Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN AOVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
''''''''"
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CITY OF PRIOR LAKE PLUMBING PERMIT
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~
Date Rec'd
8. 2(0.67
1. Blue File
2. Gold City
3. Yellow Appli~~nt
r PERMIT NO'{)3_/ I3ro I
(Please'!vpe or Print and sign at bottom)
I ADDRESS
~/7 C'H,eL)h<J4L.- ,K'/LJU :7f?c:...
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LEGAL DESCRIPTION (office use only)
LOT
OWNER
(Name)
. (Address)
BLOCK
ADDITION
J/1A1..& 6'~/,cV€5
.5'8// r:!/f~/J/,uAL /7/L/6.E. /Rc<
APPLICANT .
(Name) L/I'ut5'/t:)-e ~{, ~ /7'76
(Address) / dc/tt'1 2/,<./;f?n/-i /1t/e
(Address)
C4.eL.
APPLICANT SIGNATURE d.P ~
(Contact Person)
I Quantity
I
I
I
I
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I
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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 (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
ZONING (ollie< use)
PID,2.5: z..<J<J. tlZ3. 0
(Phone) 9';-..1-9'0- .55"S-..<
?-e/olt? t:..Hq
/
(Phone)
6/1t/-9~
(City)
95.,,l-d'-~v-.7600
S'5d:?P
(Zip Code)
(Phone)
oA~e
P/4l./c8
DATE
Type of Fixture
.
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
. Other
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FEE SCHEDULE
Industrial. Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations ~
Estimated Cost $ Building Permit # ()J - / /3 b
(omce Use Only)
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
--1 This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
39.50
.50
4-QDO
I paid40,OO
I Dat'll D
'0. U.()
Re~eipt N':f5Z4-1
By 4/il
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