HomeMy WebLinkAboutPlumbing Permit 05-0087
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CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
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3. Yellow AppliclIlIt
I PERMIT NO. OC OOB11
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LEGAL DESCRIPTION (offie, use only)
LOT
BLOCK
ADDITION
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OWNER
(Name) 10"-" L..bvrB~
(Phone) q Sz. 44C -"'&74"1
(Address)
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APPLICANT "O'~ 'PI....1 . "_
(Name) V 01 \.1g,~
(Address) 32..bO ~bV\
1 (Contact Person)
" APPLICANT SIGNATURE
(Address)
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(City) (Zip Code)
(Phone)
DATE "%-1 "OS-
PLEASE COMPLETE BELOW
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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 $ 1"Z.-"l . ro Building Permit # OJ, 0 () e1
PLUMBING PERMIT FEE $ -at1. SO
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $------4O.W
(Office Use Only)
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Buildin2 Official
Dat,
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Datecl-- . (. () r
By
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspection. (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
ADDRESS
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OA TE TIME
SCHEDULED ~~~~~
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CONTR. rrJ )" - R:7
PERMIT NO. OS--/CJr
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
[] WATER HOOKUP
~R HOOKUP
/"" -!f.:~~BING FINAL
~CH FINAL
o EXIGRADIFILLlNG
[] COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
[] GASLlNE AIR TST
o
COMMENT~: r .-/ ;1
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WORK SATI ACTORY. PRO
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR INSPECTION BEFORE COVERING
Inspector:
Owner/Conlr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
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