HomeMy WebLinkAboutPlg Permit 05-0184 - Water softener
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
3 _ / (P (JS'"
I. Blue File I PERMIT NO I
2. Gold City . ()~. 0 I B /f-'
3. Yellow Applicaot
(Please type or print and si$tll at bottom)
ADDRESS
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ZONING (office use)
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LEGAL DESCRIPTION (office use onIy)
LOT
BLOCK
ADDITION
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OWNER
(Name)
(Phone)
(Address)
APPLICAN~ r- I u
(Name) ve.rnV1P_ \..~ ,I U VVLto\V11
(Address) 7 OO~ l J; ,/'.., ,'vt t' Cr Av~.
(Address) I -
(Contact Person) AV\..4\.,o 1(''1-.../ \).Q hv'l e. .
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(Phone) 9f:;7 "2'17 ";? SSe)
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(City) (Zip Code)
(Phone) 9~ 2 Z3:.2- ~SSc>
DATE ?-.,... I b - 0 <;;
Quantity
APPLICANT PLEASE COMPLETE 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)
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 $
Building Permit # OSI () I;: r
PLUMBING PERMIT FEE $ :3 9, !:.ZJ
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ ~.. ".0
(Office Use Only)
'""his Application Becomes Your Building Permit When Approved
Building Official
Date
Paid ~, (/(.)
DateSJ&. Q S--
Receipt No, 4rr ~
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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
SCHEDULED .~r/ oS-"
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
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OWNER
CONTR.
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
~UMBING FINAL
o MECH FINAL
COMMENTS: 1 / / / /
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o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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. ~~RK SATISFACTORY, PROCEED
~~RRECT ACTION AND PROCEED
o CORRECT WOR~ ~%rINSPECTION BEFORE COVERING
Inspector: Y ~'-:'7 bwner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INS1IOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!