HomeMy WebLinkAboutPlumbing Permit #03-1006
CITY OF PRIOR LAI(E PLUMBING PERMIT
Date Rec'd
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LEGAL DESCRIPTION (office use only)
LOT BLOCK 3 ADDITION
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PPLICANT SIGNATURE ~
I. Blue File
2. Gold City
3. Yellow Applicant
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I PERMIT NO. ~ B - /OO~
ZONING (office use)
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(Phone) Cf6d-1l4:>-Q038
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DATE
COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall \ Backflow Assembly
Sinks I Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
FEE SCE[EDULE
Industrial, Commercial & Multi-family 1 % of job cost with a $39.50 minimum
Estimated Cost $
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Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEIE $
(Office Use Only)
"his Application Becomes Your Building Permit When APpro~
Building Official Date
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
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.50
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Paid
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24 hour notice for all inspections ('952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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ADDRESS
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OWNER
CONTR.
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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
o EXIGRAD/FILllNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
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COMMENTS:
~RK SATISFACTORY, PROCEED
o CORRECT A 0 PROCEED
o CORRECT 0 . ,..LL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
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