HomeMy WebLinkAboutPlg Permit 03-1307
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
REQUEST FOR INSPECTION
SENT TO HOMEOWNER.
FEB. 2004
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ADDRESS
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C ~ar-wcxd '-..9- ble
LEGAL DESCRu- lION (office use only)
LOT BLOCK
ADDmON
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(Address) ~ ~ 0 ~ a..!:vV~')
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Blue File PERMIT NO 7
Gold City .,,? _J 70 ,
Yellow Applicont u.:> I..;}
ZONING (office use)
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(phone) gs-~-44b-dSJ 7
APPLICANT CULL.IGAN WATER CONDITIONING
(Name) 8080 CULLIGAN WAY, (phone)
(Addr ) MINNETONKA, MN 55345
ess (Addres"52) 83S- 7200 (City) (Zip Code)
(ContactPerson) -..It-~ A_~.vens (Phnne) ~-tli.:? -7::?/O
r"PLICANTSIGNATURE~0 /O~ DATE q /5 j D3
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 REQUEST FOR FINAL
Water Closet (To INSPECTION SENT TO
HOMEOWNER 01-05
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Quantity
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
Estimated Cost $ ~<32
Building Permit #
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
r "his Application Becomes Your Building Permit When Approved
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BuDding Official
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
$ '- ~~ . 50
$ , .50
$ AO .00
. paid.ftJ. 00
Date f.zt, . OJ
. Receipt No. J1
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By jlJ
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16100 Eagle Creek Ave., S.E., Prior Lake, MN 55371-1714
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
D FOUNDATION
o FRAMING
o INSULATION
D FINAL
o SITE INSPECTION
D PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
OA TE TIME
2.t7jofp
"'3 "367
.
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
D GAS LINE AIR TST
o
-sENT S FQ.R-
I.N~FJf':TIO.N LEIJ-'ERS OUrl'
-REGElVED--NO RESroNSE
CL8SE-FILE-DBE Te
INArnvITY
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
IItSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH" SAFETY!