HomeMy WebLinkAboutPlg Permit 01-0974
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CITY OF PRIOR LAKE PLUMBING PERMIT
(Please type or print and sign at bottom)
ADDRESS
/&TI3 On.oo IrJ
(37.J)
LEGAL DESCRIPTION (office use only)
LOT~LOCK / ADDITION (J;()/lt/fUV ~ AJd..
OWNER -:-'\, ) . I /)_\
(Name) L.en-z.. J KCu'\a'l +- ~ n {' " lAJJ..r)..:re..\..!
(Address)
APPLICANT
(Name)
~. ~~ ~:~ PERMIT NOo.....,,_ /?7li
J. Yellow Applicant r ./1 7 7
ZONING (office use)
-BJ
PID--?5"- (b?-{JO~~~
(Phone) Q5-;J /:J.:J it; - 57,~ 7
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(Address)
CuLLlGj!~N .NATER COND1THClN~
6030 CULLIGAN WAY
lViiNNcIONKA, MN 5534~.
(952) 933-7200 (City)
(Contact Person) 6
APPLICANT SIGNATUR( ~~~u:JI
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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)
(Address)
Quantity
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
Estimated Cost $ ~
(Zip Code)
(Phone)
<;? / Jd/tJ /
DATE
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/~ 77 3
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING @
o INSULATION
FINAL
g SITE INSPEC ION
COMMENTS: H,O
DATE TIME
SCHEDULED ~ 9/3 tJ
~ 712..
CONTR.
PERMIT NO.
{J/ - 97'-/
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 GAS LINE AIR TST
o
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. 1"\ .
('V~ -~
- ,
\f WORK SATISFACTORY, PROCEED
G CORRECT ACTION AND PROCEED
o CORRECT WO~LL FOR REINSPECTION BEFORE COVERING
Inspector: ~ l. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI