HomeMy WebLinkAboutPlumbing Permit #03-1556
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compa.tlllent sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
(Please type or print and sign at bottom)
ADDRESS
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LEGAL DESCRIPTION (office use only)
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LOT ~BLOCK .~ ADDITION
OWNER
(Name)
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(Address)
APPLICANT
(Name)
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(Address)
(Contact Person)
(Address)
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.PPLICANT SIGNATURE
Quantity
1. Blue File
2 Gold City
3. Yellow Applicant
PERMIT NO. tJ3-155~
ZONING (office use)
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(Phone) '1( ~., <..( C( (, ~ ~ l.('f..,o
(Phone)
(City)
(Phone)
(Zip Code)
DATE
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Type of Fixture
Rough- ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCllEDULE
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 $ ')~ ~o
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOT AL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
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.50
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Paid
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Date '
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By C
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24 hour notice for all inspections (~>>52) 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
SCIHEDULED
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
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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/FILlING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
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COMMENTS:
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o COR EC RK, CALL FOR REINSPE:CTION BEFORE COVERING
Ovmer/Contr:
-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
QUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSlVOTl