HomeMy WebLinkAboutPlg Permit 01-1305
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
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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)
(Please type or print and sign at bottom)
ADDRESS
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LEGAL DESCRIPTION (office use only) (\
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APPLICANT r_..." """ 1'\
(Name) ~U}1;\uY L
(Address) l~lLtD /I'
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(Address)
(Contact Person)
APPLICANT SIGNATURE
Quantity
FEE SCHEDULE
Industrial, Commercial & Multi-family 1 % of job cost with a $39.50 minimum
I. Blue File I PERMIT NO'~/'-/36
2. Gold City
3. Yellow Applicant
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ZONING (office use)
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(Phone) JddJ-~-Q'or~
(Phone) Oj1fll.1.f2JG ~ ?JVO
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(Phone) f)j/ fol0l4'g- ~
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DATE
Type of Fixture
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Rough-ins
Water Heater
Water Softner I
Stand Pipe (Wash\ng Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
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$
$
$
Estimated Cost $
(Office Use Only)
Paid '-10 JoO
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24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
This Application Becomes Your Building Permit When Approved
Building Official
Date
ReLJ~~ ~J
By gv
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/7;J. t ~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
DATE TIME
SCHEDUl...ED .J~.~ / /: t:ro
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P
CONTR.
PERMIT NO.
t)1-/3CJS
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: H1lJ ~
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
'!- CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl