HomeMy WebLinkAboutPlg Permit 04-0486
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
REQUEST FOR FINAL
INSPECTION SENT TO
tf:;srond;:~ HOMEOWNER 01-05
&)3 q h Pl-0t SF
. FiI.
d City
.low Applicant
I PERMIT NO. ol/-ijg4
I
ZONING (office use)
OWNER .~ .
(Name) rd Ot) La
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PIDdS- OU- @ (
LEGAL DESCRIPTION (office use only)
LOT 1/ BLOCK ADDITION
(Phone) Lfll/) .fb/- 4~q I
(Address)
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(phone) Lht-:3IiJS. / ?J1D
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(City) (Zip Code)
(Phone) .:2f.t15 -134D
DATE 5
APPLICANT PLEASE COMPLETE 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 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 Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $ ADO ---- Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
..39.CjO
.50
4D-
(Office Use Only)
Building Official
Date
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED #-5-
~ee~y /:JI
CONTR. /
ADDRESS
/537?
OWNER
PHONE NO.
PERMIT NO.
cY/- <JIb
o FOOTING
o FOUNDA liON
o FRAMING
o INSULA liON
o FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~MBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
IP/~
o~
~K S CTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR R SPECTION BEFORE COVERING
Inspector:
er/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IIISNOTl