HomeMy WebLinkAboutPlumbing Permit #03-1150
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
REQUEST FOR INSPECTION
SENT TO HOMEOWNER.
'. (Please type or print and sign atbottc FEB. 2004
ADDRESS
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER /1.. A ~_ h A ~ ~ --.. ~ J.L A J J
(Name)~ ' rW!FJ ? (~~
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(Addres~ a..R tlhlJu~J
APPLICANT CULLIGAN WATER CONDITIONING
(Name) RO~O CUlliGAN WAY
MINNt: I ONKA. MN 55345
(Address) {952) 933 7200
(Address)
6.2"fj,03
~::~ ~::y PERMIT NO. A? _ / JL:'""),,\
3. Yellow Applicant CI/. II..::;JV
(~72.)
ZONING (office use)
PIDzes379'.1370....
(Phone) { 9s~)d4tl -tdV!
(Phone)
(City) (Zip Code)
(Contact Person). (Phone)
~PPLICANTSIGNATURE ~~/(}t..tt/iNJ
DATE
f? LU 08
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain I Water Softner
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
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
Building Permit # tJ.3 ,. / /5V
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- .50
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Estimated Cost $ ~tJ ~
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERl\tlll FEE
(Office Use Only)
$
$
$
This Application Becomes Your Building Permit When Approved paid1t'" OV
Date Dat<y Vi). 0 ")
Building Official . . /
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
ReceiP~ZS 7
By ;fId-
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
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DATE TIME
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3-m
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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INSNOTl
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~~, ~>>OR REINSPECTION BEFORE COVERING
Inspector: W...-' Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
r(J-d ~orr
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/