HomeMy WebLinkAboutPlumbing Permit 04-0528
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Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
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I. Blue File
2. Gold City
3, Yellow Applicant
I PERMIT NO. 0 4-.05 wi
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ZONING (ollice use)
LEGAL DESCRIPTION (ollice use only)
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BLOCK
ADDITION
PID2b. z.71, OOLl1
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OWNER L 't. ,
(Name) i'tiA', u....;~ V\€.
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APPLICANT "~ 5 ()
(Name) ufJu\.;1"I W{_ A (Phone) tol ri-5(OI r Jlo
(Address) Lv I ~ 'A~ A~ W r ~ 55~
(Address) (City) (Zip Code)
(Contact Person) N \ K-~ l0~ (Phone) 101 a - 8lo &-445"-
\PPLICANTSIGNATURE~ . \. --" )y-- DATE 5';;)1-04
APPLICANT PLEliE COMPLETE BELOW
Quantity I Type of Fixture Quantity
Bath Tub with or without shower Rough-ins
I Dishwasher Water Heater
I Floor Drain Water Softner
I Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) I Other
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(Phone) CfOd '441-llilo
(Address)
Type of Fixture
FEE SCHEDULE
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 Permit # 04. ()S2-fJ
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
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.50
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(Office Use Only)
J This Application Becomes Your Building Permit Wheu Approved
Building Official
Date
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Date
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Receipt N..9i (j
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BY~
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24 hour notice for all inspections (952) 447-9850, fn (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
I<I'FINAL
'b SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
4--. SZ8
o EXIGRADfFlLLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC~WOR ,CALL FOR REINSPECTION BEFORE COVERING
Inspector. Owner/Contr.
CALL 7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH ol SAFETY!
UUNOT'