HomeMy WebLinkAboutPlumbing Permit 04-0329
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Date Rec'd
Ci.l'i OF PRIOR LAKE PLUMBING PE~lll
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ADDRESS
59'io 0, \Q.
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~a E-. t~RMITNO.04-~~~
ZONING (office use)
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LEGAL DESCRIPTION (office use only)... rd
LOT rr BLOCK ~ ADD1110~I//)d~/U/J1! ~? 3
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OWNER \-\ \ \ _ _ ()
(Name) e.o--~~ l~r1SL{)
I (Address) tQ'1 L-/O 0 r ~ C\J \)\ C\ ~..~/
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(phone) 95;) -4 tJ 7 ~I.oSl9:3
APPLICANT ' ~ ~ ~' fl't::::"'\ / /, '9 I J:.qa
(Name) ~~ yro \\\.1.'<'t\V\ "" ~ (phone) E1 Jo.-Lf{J ....LQ-( ~I
(Address) 6>'-l1t1cr +-L~nl;'U~ J t1~, l--.o-KLu; \~ ~
(~ess) (City) (Zip Code)
(ContactPerson) -:\U1V1J (Phone) 0fx9- t./~~ -&0~q
;--'1'l'wCANT SIGNATURE I ~~\..... . ........_~ Q DATE Y - J 1- 04
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APPLICANT PLEASE COMPL~l'~ BELOW
Type ofFixtore . Quotity
Bath Tub with or without shower -
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
LaundrY Tray (1 or 2 compLlment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Quantity
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine )
Sewage EjeCtor ~
BacId10w ~.......bly
-BackflowAssembly Test
Lawn Sprinkler I VC\c..vv tv\ ~'(.~
Other .
~ of Fixture
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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 $
Building P.......it #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL.~RNUT*~~ S
89.50
.50
40~
(Office Use Only)
~. This Application Becomes Y 08f Building Permit WheD Approved
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Building 0fIicia1
Paid l/a.' ~
Date ~ J l'
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24 bour notice for .n iDspectio... (952) 447.JJllSO, ,.~ (952) 447~
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DATE TIME
CITY OF PRIOR LAKE
INSPECTION NonCE
SCHEDULED
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ADDRESS
~ql{ 6
(Y'~/ -L (?L
OWNER
CONTR.
PHONE NO.
'-1- 32q
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
Lo.WV\ ~..., "'~
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
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-'ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~~K._ C~ FOR REINSPECTION BEFORE COVERING
Inspector: f7 V{f Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
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