HomeMy WebLinkAboutPlumbing Permit #98-0284 � DATE TII�AE
CITY OF PRIOR LAKE SCHEDULED r y�----
INSPECTION NOTICE
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ADDRESS '��' '�� '-°"
OWNER CONTR.
PHONE NO.
PERMIT NO. _ � � '` � �
❑ FOOTING 0 PLUMBING RI ❑ EXIGRAD/FILLING
❑ MECH RI ❑ COMPLAINT
❑ FOUNDATION ❑ FIREPLACE RI
❑ FRAMING ❑ WATER HOOKUP
❑ INSULATION ❑ ,,SEWER HOOKUP ❑ FIREPIACE FINAL
❑ FINAL �P�LUMBING FINAL ❑ GASLINE AIR TST
� SITE INSPECTION '❑ R�ECH FINAL
❑
COMMENTS:
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: ❑ WORK SATISFACTORY, PROCEED
;p CORRECT ACTION AND PROCEED
_❑ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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Inspector. � "
CALL 447-9850 FOR THE NEXT INSPECTION 24 NOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFE'TY!
lNSNOTI
� rRip Date Rec'd
� �� CITY OF PRIOR LAKE PLUMBING PERMIT
� � � 23�0 �
� �INNES��� /t��
1. Blue File pERMIT NO . ( U/ �, � Z�(�
2. Gold City 7
3. Yellow Applicant ��� !
lease or ' t and si n at bottom
ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
APPLICLNT O , 7�
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� _ _ o I� d 1Mrv• ��ds
(Address) (City) (Zip Code)
Q (Phone)
_ _
APPL��NT-�IGN . . '�� — — 6
APPLICANT PLEASE COMPLETE BELOW
uanti T e of Figture Quanti T e of Fixture
Bath Tub with or without shower Rou h-ins
Dishwasher Water Heater
Floor Drain Water Softener
Lavato Bathroom Sink Stand Pi e Washin Machine
Laund Tra 1 or com artment sink Sewa e E'ectar
Shower Stall Backflow Assembl
Sinks Backflow Assembl Test
Bar Sink Lawn S rinkler
Water Closet Toilet Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a$49.50 minimum Residential, New One & Two-Family $149.50
Residential, Additions & Alterations $49.50
Estimated Cost $ O c7 Building Permit #
PLUMBING PERMIT FEE $ ��J, S� A �/+�
STATE SURCHARGE $ .50 P �
TOTAL PERMIT FEE $ SO. D o .�. �p (,r,-�c,,¢_ �-� ^
(Office Use Only) � ��
This Application Becomes Your Building Permit When Approved Paid �� o ,�,,,� Receipt No. ,
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SS?6 �
��te.c�f-� �Z.? 08' Date � 23 D 8 By
Buildin¢ Official ate
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372