HomeMy WebLinkAboutPlg Permit 01-0848
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PEMuI
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(Please type or print and si2l1 at bottom)
ADDRESS
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~.:~ ~:~ PERMIT NO'/'\J-o ~
1 Yellow Applicant VI ()
(37:2,)
LEGAL DESCRlt' llON (office use only)
LOT1~LOCK ADDITION ./YJU/YfA ~ JVcl ~(J/lLa~ID ~,C:; - O/f!-O/l{--ri)
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(Address) ~()
(Phone) ~ J 447 -,;)Q;2{ "
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APPLICANT
(Name)
(Address)
r.11I t lGAN WATER CONDI!lqt>lA~n%
6030 CULLIGAN WAf
~TONKA. MN 55345
(Address) - (952) 933-7200 (City)
(Zip Code)
(Contact Person) (7'>r-J..i.A-" --i i, (Phone)
APPLICANTSIGNATURF.~ - ~21 DATE
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)
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Quantity
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SU:.lEDULE
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
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Estimated Cost $ c;),Dn:=:-
Building Permit #
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$-3Ci ,~-o
$ ,50
$ LlO.~
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid LjO I 00
Date ~ ~-o \
Receip1..fb 33 '7
By gv
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
9~
,
SCHEDULED ff/;/LJ J
/5"'-/~ ~ Fc;U;~f-J~ 'i?J
CONTR. U ---
/-9tf'i'
PERMIT NO.
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING @J
o INSULATION
FINAL
l'SITE INSPECTIO
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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<t.~9
~WORK SATISFACTORY, PROCEED
/0. CORRECT ACTION AND PROCEED
o CORRECT WOR~LL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
f
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INBNOTl