HomeMy WebLinkAboutPlumbing Permit 03-1308
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
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REQUEST FOR INSPECTION
SENT TO HOMEOWNER.
FEB. 2004
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APPU~ CULLIGAN WATER CONDITIONING
(Name) 8898 OULLIGAN WAY
(Address) -MINNc IONKA, MN 55345
(~)933-1200 (City) (Zip Code)
(Contact Person) i.hi3 Y1d..-( \tf<' V6Y1~ (phone) ~ ~ I d -e:> I 0
0PLICANTSIGNATURE~~ ~ DATE qJs/Do
APPLICANT PLEASE COMPLEIE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compa. uuent sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
(phone)
Quantity
Type of Fixture
1
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCttEDULE
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 $ ~CXJ &JG)
Building Permit #
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERJ\tllJ FEE
$ '-..:30,.. 6 ()
$ .50
$ 40bt1C2
(Office Use Only)
( T'his Application Becomes Your Building Permit When Approved
Building Official
Date
pai~~ 00
Dat~ Z, (, ,OJ
ReceiP*"n ~
BY,
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
ADDRESS
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DATE TIME
SCHEDULED l:23-0l(
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CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~-I30~
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 EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
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COMMENTS:
:;(. WORK SATISFACTORY. PROCEED
o CORR TION AND PROCEED
RK. CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr.
850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
/NSNOTl