HomeMy WebLinkAboutPlg Permit 05-0129
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
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I. Blue File I PERMIT NO I
2. Gold City . at.; , 0 {'7 Q
3_ Yellow Applicant V. f-
ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID z5'". 404-. 04+ .0
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(Co 10:>) LB-J
(Phone) ~ C))
APPLICANT
(Name)
(Address)
CULLIGAN WATER CONDITIONING
6030 CULLIGAN WAY
MINNETON~. MN 55345
(Addr~952) 933.7200
(Phone)
(City)
(Zip Code)
Quantity
APPLICANT PLEASE COMP T
Type of Fixture Quanti
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)
(Phone)
(Contact Person)
\PPLICANT SIGNA U
DATE ;=:) - ;::;>-GS
BELOW
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 I % of job cost with a $39.50 minimum Residential. New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $&n~
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
31eJ
,50
Lo.cn
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid
tv . (j.)
Date
Z ,18.()
Receipt No, ~fjM I
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372.1714
DATE TIME
CITY OF PRIOR LAKE iY6<
INSPECTION NOTICE SCHEDULED
ADDRESS /'1155 ~ Qlo~
OWNER CONTR.
PHONE NO. PERMIT NO. s-rL;
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE R1
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL ;GASLlNE AIR~T
o SITE INSPECTION o MECH FINAL ~~~
COMMENTS:
Owner/Contr:
R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
'MENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!
INSl'IOTl