HomeMy WebLinkAboutPlumbing Permit 03-1318
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Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
i ~L ~l~Ii~' I PERMIT NO. !) 3-131 ~
ZONING (office use)
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LEGAL DESCRIPTION (office use only)
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ADDITION
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OWNER
(Name)
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(Address) ,
(Contact Person) t\~
'PLICANT SIGNATURE '\.---'-...
(Phone)
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(Address)
APPLICANT
(Name)
(phone) L, I d . gO\ - C9loD
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(City) (Zip Code)
(Phone) ~
(Address)
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DATE
OMPLETE 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 I Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi~family 1 % of job cost with a $39.50 minimum
Estimated Cost $ I u DgP.-
Residential, New One & Two~Family
Residential, Additions & Alterations
$99.50
$39.50
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
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.50
'10.Q{L
(omce Use Only)
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'his Application Becomes Your Building Permit When Approved
Building Official
Date
Paid '1a
Date t?7 -.3
ReceiPt~8o
By
24 hour notice for all inspe<tions (952) 447-9850, fax (952) 447-4245
16200 Eagle ereekAve., S.E., Prior Lake, MN 55372-1714
DATE nilE
CITY OF PRIOR LAKE ,. ~ h/ L
INSPECTION NOTICE SCHEDULED ~~
ADDRESS / .7/1"'.2 U/,7~r/t.~sr it
OWNER CONTR.
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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
..,?'PLUMBING FINAL
o MECH FINAL
o EXIGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
COMMENTS' f
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at'
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~ """"--Owner/Conlr:
CALL 447-8850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH <I S.4FETYI
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