HomeMy WebLinkAboutPlg Permit 05-1232
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
(Please type or Drint and si2ll at l . ..._)
ADDRESS
I. Blue File
2. Gold City
3. Yellow Applicant
I PERMIT NOo/)S- /J-3 :L
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ZONING (ofliceuse)
(Phone)
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, ~,l"u...--- DATE
L PLICAN; 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)
LEGAL DESCR1r uON (office use only) /iJ
LOT ~ BLOCK "c) ADDITION Y ~ So
OWNER
(Name)
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"M
(Address)
~MP/
APPLICANT
(Name)
N{)d:> OM t'/lJt'Vlb,l.t~
2-0D~ U):>lfu(l ,4L~C;
(Address)
(Address)
(Contact Person)
..A.PPLICANT SIGNATURE
Quantity
FEE SCHEDULE
Industrial. Commercial & Multi-family 1% of job cost with a $39,50 minimum
Estimated Cost $ ~ Ol)(})
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
..l This Application Becomes Your Building Permit When Approved
Building Official
Date
(Phone)
PID on- 69D-f
YY'1- t0sS-
~2) 92-0-4033
I:)s~oB
(Zip Code)
12--() 8 -o~
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 $39.50
Building Permit #
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r i ,. .50
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$
$
$
Paid
tJO /---
Date ,.-
( :J - d:?Y'':)
Recei~o. ::l Ie,
.~ ()e; v
By ~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
2/ifi~
, .
ADDRESS
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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
~MBING FINAL
o MECH FINAL
COMMENT~ ~ /
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,
~/23"2-
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL F R 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!
/NSNOTl