HomeMy WebLinkAboutPlg Permit 01-0526
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CITY Of PRIOR LAKE
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Applicant.
Address:
PLUMBING PERMIT
c::5J!'u~ ~~..G~'.e--/ Phone:
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Signature: ./7~ "'-- - C ~ b:-.. P J J _ -::::td7 _
Legal Descnption: lot /6 / Block -3 Surf?:!:'.~/")[t[!.R &~~
Site Address. 5?'kS- C!.rt:'..$S#C."-c4-...... S~ 56""
Building Permit # PID II /),5"'" ~)..~-J?Jg-o
NOTE. nlis permit will not be processed without complete Information
If
CITY OF~PRIOR LAKE
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FIXTURE UNITS
Quantity
Type ot Fixture
Quantity
Type of Fixture
Bath Tub with or Without shower
Rough-ins
Dishwasher
Water Heater
Floor Drain
Water Sof1ner
Lavatory (bathroom sink)
Bar Sink
I
Stand Pipe (waShing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check. PVB)
Backtlow Assembly Tes!
Lawn Sprinkler
Other
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Water Closet (toilet)
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost. $39.50 minimum)
Residential, New One & Two Family
Resldenlial, Additions & Alterations
State Surcharge
$89 50
$39.50
$
$
$ J7" ?/J
$
.50
GRAND TOT Al
$
mm
11m perm" 1\ granted upon the cxprcs>. cumJll,oll (hal ,aid
conlraclol.~hol\ comply ill RII respecl< wlIh Ihe llrdmJlleCS
01 Ihe St~Plumblllg Code and ,he amelldmcnl< ,/hcrcor
3%~ ~ IU:.U:IPTNO ~/?I-O DATE
~ ATTT:ST
Call for alllll~vccllonU hour~ In advance
16200 Eagle ('reck Av S.E., Prior Lake, Minnesota 55372 f Ph. (612) 447-4nO / FAX (612) 4474245
An Equal Opportunity Employer
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
Sq~r G~Qv1j;-f1
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
tAW"l s;o/',lI.~~
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COMMENTS:
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DATE TIME
~ ,J- 7-dJ
01
l"~.L.G
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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o WORK SATISFACTORY, PROCEED
{ilY'CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
III ~ O,J.-'7-r!7.
Inspector: r //1 0 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INlNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!