HomeMy WebLinkAboutPlg Permit 05-0200
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
3 Z 2.05"
I. Blue File
2. Gold City
3. Yellow Applicant
I PERMIT NO. 05. 0200 I
( ?i7i1
ZONING (office use)
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1~7~;t~~ ~SW
LEGAL DESCRIPTION (office use only)
LOT Z BLOCK:5 ADDITION SU/.JJt::/ f(~C-{,.J
PID 25". 17 z.... 0/1. 0
I OWNER ~
(Name)~tn . tG
(Address) ::':'llYl'lt- as tJ,ho Ve.-)
(Phone) eS-~440 - J 5ffB
(Address)
CULLIGAN WATER CO
6030 CULLIGAN WAY
MlNNETONKA, MN 55345
(962) 933-7?OO
(Address)
APPLICANT
(Name)
(Phone)
(City)
(Zip Code)
(Contact Person)
(Phone)
ttSd--q 1;)- -,?I7o
D6
DATE
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 $ ~tXJ ~
Building Permit # OS'. 0 z... 00
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$~
$ .50
$ 40-00
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Date
Paid +0. 0 CI
Date 3. Z z.. 05"
Receipt No.
4--8857
Building Official
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
ADDRESS
JJ /9'
DATE
SCHEDULED ~~
a~9~ S/
........
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
CJS7- ,,20 0
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
..ef1sLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: J /
?Va reI""
~ j7~er
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~RK SATISFACTORY, PROCEED
h -CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr.
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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