HomeMy WebLinkAboutPlg Permit 05-0128
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'9
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I. Blu. Fil. I PERMIT NO I
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3 Yellow Applicant V
(Please type or print and silnl at bottom)
ADDRESS
ILJO')O Ru~ S-+-f0E ~3f)a
ZONING (office use)
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LOT
LEGAL DESCRIPTION (office use only)
ADDITION
BLOCK
PID2S I&/. 004.0
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OWNER.-" ........ .
(Name)( T ) i t::.Q_J--n lho~
(Address) ~~ A.<;
(Contact Person) (Phone)
\PPLICANTSIGNA~ L.A{I\~ DATE
APPLICANT PLEASE COMPr.& BELOW
Type of Fixture 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)
APPLICANT
(Name)
(Address)
Quantity
CULLIGAN WAlEk CONOITIONING
bUau \,;ULLI\:iAN WAY
MINNETONKA, MN 55345
(AdMQij2) 933-7200
(Phone)
(City)
(Zip Code)
I ~-<S
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
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
(Office Use Only)
Estimated Cost $~ .<JO
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
~95:)
.50
Lt). (1t)
This Application Becomes Your Building Permit When Approved
Date
Paid
4o.uo
Z-IHA:J5-
Receipt No. 4-'tJ 8tJ /
. By /1ItR-
/
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
ADDRESS
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DA~/ TIME
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CONTR. ./
SCHEDULED
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
PHONE NO.
PERMIT NO.
)
6,--/;20'
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
~LUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMME{/v.;fer J; Pint! r
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UIL
.~WORK SATISFACTORY, PROCEED
;'6 CORRECT ACTION AND PROCEED
o CORRECT WO~~ ~A;;nOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
I ,
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl