HomeMy WebLinkAboutPlumbing Permit 04-0430
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CITY OF PRIOR LAKE PLUMBING PERMr~~ MAY 1 3 2004 ,
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I. Blue file
2. 00Id City
J. Yellow Applicant
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PER.WIT NO. att. O~30
(P1ease tvPe or print and sma at bottom)
ADDRESS
, tj7r~ . Ott~Wood c~.
ZONING (office use)
LEGAL DESCR.lr liON (office use only)
LOT BLOCK ADDIII0N
PID zS. z. eo. oz /. ()
OWNER
(Name) VVt~ ~ /1.0
(phone)
(AdcL~)
Az r 1..ICANT
(Name)
CULLIGAN WATeR CONDITIONING
1030 CUll..lOAN WAY (phone)
MfNNETONKA, MN 55345
(Address) ,882) 933.1200 (City)
(Zip Code)
(Address)
(Contact Person)
r-', .
( ?PLICANT SIGNATURE
(phone)
DATE
.I
APPLICANT PLEASE COMPLEIJ!, 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 1_ Backflow Assembly Test
I Bar Sink I I Lawn Sprinkler
I Water Closet (Toilet) I I Other
FEE SCHEDULE
Industrial. Commercial & Multi-family l~'o of job cost with a $39.50 minimum Residential. New One & Two-Family $99.50
Residential. Additions & Alterations $39.50
Estimated Cost $ ~Ot.). ~
Building Permit # 0 t$. OpO
-PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERl\'lll FEE $
~ 9.. )0
.50
qat. eX>
~mce Use Only)
I 'his Application Becomes Your Building Permit When Approved
Building Official
Date
Paid~O. () 0
Date S-. 1:1. t) ~
Receipt N~. 4-~ ?Zs
BJ
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 _
16200 Eagle Creek Al'e., S.E., Prior Lake, MN 55372-1714
CITY OF PRIOR LAKE
INSPEcnON NonCE
SCHEDULED
ADDRESS
OWNER
t:.17/7
DATE nME
--5-'/-dLl
CONTR.
att wt>6C' ~ I}-
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
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o EXIGRAD/FILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
COMMENTS:
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~ORK SATISFACTORY. PROCEED
(7 CORRECT ACTION AND PROCEED
o CORRECT ~:~LL FOR REINSPECTION BEFORE COVERING
Inspector: -1..IL{ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/NS1iOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!