HomeMy WebLinkAboutPlumbing Permit 04-0978
CITY OF PRIOR LAKE PLUMBING PERl\-u.1
Date Rec'd
9. '28,.04-
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PERMIT NO. O"',Oq 18
ZONING (oIIIcellle)
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LEGAL DESCRIPTION (office use only)
LOT/.rBLOCK IADDmON
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OWNER
(Name) :..0 tlN tl-1 M""'-J
. (Address) J t, 'f~ t" &tl\Jt) un~ IJt.I41 c...
(phone)
APPUCANT
I ~ (Name)~ t11lJ:1JO r t..J r C
.. ~Address) \ '7).0 I ~/'2t~ ""OL+t1 '- <...".
I (Address)
.., (CooIa<OPerson) {?M-r ~"'/i?C
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APPLICANT PLEASE COMPLETE BELOW
Type of Fixture r Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
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(City)
(Zip Code)
(phone)
>DATE
'l2~/Dt.f
Quantity
Type of Fimre
~
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
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FEE s\"IU.DULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.S0 minimum Residential. New One & Two-Family
Residential, Additions & AI~ons
Estimated Cost $ Building Pennit # 0 if .. a 97"
$99. so
$39.50
PLUMBING PERMIT FEE S
STATE SURCHARGE $
TOTAL .-: ~AMIT FEE $
3f.S"lJ
~ .50
~.W
(omte Vie 0II1y)
This Application Becomes Your Building Permit When Approved
Wlllilll omd.1
Date
paid10 ~ tI'lJ
Date~ ;hi' 4 f-'
Receipt NO'f:; (J]
By l ,;
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24 hour .otiee for all Ill. 'I .. .10.. (9!2) 447-98S0. ru (95%) 447-4245
16200 Eagle Creek Ave., S.E.. Prior Lake, MN 5537%-1114
DATI TIME
CITY OF PRIOR LAKE / /'/k
INSPECTION NonCE SCHEDULED~-
ADDRESS /69% 8'~~ I ~L~ 7r1
OWNER
PHONE NO.
CONTR.
PERMIT NO.
~.~7'7~
[J FOOTING [J PLUMBING RI [J EXlGRADIFIWNG
C FOUNDATION C IlECH RI [J COIIPLAINT
C FRAMING C WATER HOOKUP C FIREPLACE RI
C INSULATION C SEWER HOOKUP 0 FIREPLACE FINAL
[J FINAL ,.er15[.UMBING FINAL [J GA8UNE AIR TIT
[J SITE INSPECTION C IIECH FINAL 0
C:#OMENT. /t}/ A I
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./" WORK SATISFACTORY, PROCEED .
I' ~ORRECT ACTlON~ND PR
[J CORRECT wo~ ECTION BEFORE COVERING
Inspector: OwnerlContr:
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CALL 447-1110 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE DQUUEMENTSAU Fa. YOU.I'USONAL HEALTH. SAFETYl