HomeMy WebLinkAboutPlg Permit 05-0687
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
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I. Blue File I PERMIT NO /J I
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ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
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I OWNER
(Name)
(Address)
APPUCANT /h t?/
(Name) j 11,472Y {VIlIE!f2t/1l(
(Address)
(Phone)
(Phone)
4S-;)~ C/V 0 ~73<6'
(Address)
)PUCANT SIGNATURE
(City)
(Phone)
(Zip Code)
DATE
I
ANT 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 I % of job cost with a $39.50 minimum
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Building Permit # 0 s-. 0 ~ B 7
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.50
+0, () 0
$
$
$
Estimated Cost $
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
this Application Becomes Your Building Permit When Approved
Date
Paid 4-0.00
Date7 '0 ~
. /0.0
Receipt Nofi 8 j(p
By
Building Official
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
INSPECnON NOTICE
ADDRESS
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OWNER
SCHEDULED
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CONTR.
PHONE NO.
PERMIT NO.
.Y-C~7
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
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bfifjlLflow
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o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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DATE nUE
7-1t1,(h
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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o W~ATISFACTORY. PROCEED
MeRRECT ACTION AND PROCEED
o CORRECT WORK, CA F 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!
lNSNOTl