HomeMy WebLinkAboutPlumbing 03-1068 & 1176
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CONTR. ~ - I () to f?
PERMIT NO. ~ - /( 7 ~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
PHONE 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
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COMMENTS:
DATE nilE
IO-/7"'~
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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II WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOfWK. CAL FOR REINSPECTION BEFORE COVERING
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Inspector: I 0'" Owner/Contr:
CALL 447.9850 FOR TH~ NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETYI
1-
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~ .(Z-. 0 J
1. Blue File PERMIT NO
2. Gold City ;'-J ? -(0" fj
3. Yellow Applicant VJ (0
(Please type or print and sign at bv..vm)
ADDRESS
Ho;}35 Po..vK\J \fuJ SE.
/(.,,' ,7,\
!(t)VI/OV (y, . . .J
\~
. ZONING (office use)
LOT
LEGAL DESCRIPTION (office use only)
PID
OWNER 1./ _ _.J. . . ..... \/
(Name) "0-.- vu.r'-l fuV\tkJ....
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APPLICANT f'\.
(Name) l )EN~6 ~ (Phone) ~~?l)'-6dlQD
1o\4 3QD f\ue 5\J.) \il\~(h\~~ 6635D
(Address) (City)
(Contact Person) \)E.."-\~ (Phone) 5Cl.J'V\.l
"PPLICANTSIGNATURE ~ ,t~__-- DATE ~-l 'OR
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APPLICANT PLEAS~~OMPLETE BELOW
Type of Fixture Quantity I
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (1 or 2 compartment sink I Sewage Ejector
Shower Stall t I Backflow Assembly
Sinks I Backflow Assembly Test
Bar Sink I Lawn Sprinkler
Water Closet (Toilet) I Other
(Address)
(Address)
Quantity
BLOCK
ADDITION
(Phone)
ct5d- 4-40-501 (p
(Zip Code)
Type of Fixture
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 $
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Building Permit # tJJ -/ o~g
2>Q.50
50
L4 0 . (Xi
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
(Office Use Only)
_.J.. This Application Becomes Your Building Permit When Approved
Building Official
. pa~ _ t/7.J
Da~
'(j./~. O:J
. Receipt N~~ I
<?y. /-?- V
By ~
U
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
,-~".,.., '-..'T'..........
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
9. 4-. ()J
I. Blue File I PERMIT NO
2. Gold City 'al ? -//1&1
3. Yellow Applicant ~
(Please type or print and sign at bottom)
ADDRESS
IlDd35 PCU'\i\}\tlD S~
ZONING (office use)
LOT
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER
(Name)
(Address)
BLOCK
PID Z5 z.--cf9, tJt:1(). ()
Ku..VQ ~ f:o~J(
f:p..XVJl
(Phone) qt.>a. 44D' C:01-(P
APPLICANT" . c::;:. \. }.D,...l,'
(Name) U~ '0 \J\... \" (., t
, 12.'0
(Address) tD \ 4 3 - A
(Address)
.
(Contact Person) t\~ (Phone)
'--A.PPLICANTSIGNATURE~' . l A-}.l-- .- / DATE q."Z...o~
- -- U ......,/
APPLICANT PLEASE CO~" pt{OW
Type of Fixture 1 ~~nt9'5' / Type of Fixture
Bath Tub with or without shower . I ()UV / / Rough-ins
Dishwasher \ ,I / / Water Heater
Floor Drain \ ~ / / Water Softner
Lavatory (Bathroom Sink) {\ \ / I Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compa~ent sink\) / Sewage Ejector
I Shower Stall (, .) \}J\ 1 \ Backflow Assembly
I Sinks \ / I Backflow Assembly Test
Bar Sink ' I Lawn Sprinkler
Water Closet (Toilet) . / I Other
Quantity
(Phone) ,lD \d . ~\ - 6d.1oO
\-\~~~ 56~6fl
(City) (Zip Code)
S~\
&\..n-u
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
(Office Use Only)
Estimated Cost $
'lo~
Building Pennit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
6G . f1:J
.50
40. DO
Building Official
Paid 40 00
Date9. 5.0]
I
ReceiP45 Z 7 i'
By t.
tJ
J This Application Becomes Your Building Permit When Approved
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
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