HomeMy WebLinkAboutPlg Permit 01-0969
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
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(Addre,,) :?4 I L\ ~ \ ~- {;V -tYl
APPLICANT r "" l m
(Name) ~ If7lI TJY) III Y
(Address) _'JalD v nllJ{a (l ~'illfh
(Address)
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APPLICANT SIGNATURE ~t ~ DATE
A;LICANT PLEA~E COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (1 or 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
(Please type or print and si~ at bottom)
ADDRESS
WUj
34 \ L\
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....
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
NLU
(Contact Person)
Quantity
FEE SCHEDULE
Industrial, Commercial & Multi-family 1 % of job cost with a $39.50 minimum
Estimated Cost $
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~. ~~~ ~:~ PERMIT NO./lJ...0 IJ /_0
3. Yellow Applicant VI' 7 ft:17
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ZONING (office use)
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PID '25 -35/- OOe/-o
(Phone) q601~a@){j - W
(Phone) C flhJ-f?fi/ ~1/0
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(City) (Zip Code)
(Phone) OJ- WtlJ1 (Of ~.1-./7q
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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 #
.:31.5b
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
.50
4'O,OD
Paid 4O.If7}
Date f - ~ . V I
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By
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DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
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SCHEDULED ~;dJL
41y~
CONTR.
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OWNER
PHONE NO.
PERMIT NO.
6/- 0 '1(,'1
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
J1!fl FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: f-t tJ ~~~ ~ '\'~
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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r-ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~~~ CALL FOR 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!
INSNOTI