HomeMy WebLinkAboutPlg Permit 01-0805
Da\
c.. i OF PRIOR LAKE PLUMBING PEAAn.
1. Blue File
2, Gold City
], Yellow Applicant
ZONING (office use)
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(Please type orDrint and sie.n att "~~....)
ADDRESS L) I /) J r""
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LEGAL DESCR1.t' uON (office use only)
LOTtJBLOCK A.... ADDITION K/lJ1J b
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OWNER ~ ~
(Name) '\..-vu
(Address)
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PID;2.S"" 310- OI'7-C
(Phone)W;).- 37;1.- C/S72
APPLICANT
(Name)
(Phone)
(Address)
(Address)
(City)
(Zip Code)
(Contact Person)
,;A~~';>6'l\.E
(phone)
DAn
7/3010
Quantity
,. 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)
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
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FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39,50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
3Q,S{>
.50
'Lf()' crO
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid lfo .I 0 0
Dati_ 3fYO)
ReceiP71CJ30 J
BY~.
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
. LAKE
....n1 NOTICE
DATE TIME
ADDRESS
L!:I.2/ ~
,
SCHEDULED ~ - I-oL I J S-
B~ f<cL
OWNER
CONTR.
PHONE NO.
PERMIT NO.
I-~~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI 0 EXIGRADIFILLlNG
o MECH RI 0 COMPLAINT
o WATER .HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLINE AIR TST
~ FINAL 0 ·
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COMMENTS:
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(V1~
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~WORK SATISFACTORY, PROCEED
, 0 CORRECT ACTION AND PROCEED
o CORVDRRK' CALL FOR REINSPECTION BEFORE COVERING
Inspecte: ,/ \ Owner/Centr:
" ~ / I.
CALL 44zAiso FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl