HomeMy WebLinkAboutPlumbing 03-0931
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
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I PERMIT NO. 03-093 J I
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City
Applicant
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LEGAL DESCRIPTION (office use only)
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ADDITION
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APPLICANT SIGNATURE
DATE '}- / <./.- (J:1
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
A... Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
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 $39.50
Estimated Cost $ Building Penn it # 03-077/
PLUMBING PERMIT FEE $ S 9 ,.s 0
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ /f(J. 0 ()
(Office Use Only)
This Application Becomes Your Building Permit When Approved
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Recei I
Building Official
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Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
OA TE TIME
CITY OF PRIOR LAKE
INSPECTION NonCE
ADDRESS
Ie C10
OWNER
CONTR.
PERMIT NO.
.g( PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
7- err; I
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o EXIGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
"WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ 7 - 1t1~7Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
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