HomeMy WebLinkAboutPlg Permit 05-0446
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
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I. Blue File I PERMIT NO, 4-~
2, Gold City
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ZONING (office use)
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LEGAL DESCRIPTION (office use only)
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I OWNER
(Name)
(Address)
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BLOCK
ADDITION
APPLICANT
(Name)
(Address)
(Contact Person)
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(Phone)
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(Address)
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(City) (Zip Code)
(Phone)
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DATE
~PPLICANT SIGNATURE
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
Backtlow Assembly
Backtlow Assembly Test
Lawn Sprinkler
Other prt / rz.
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FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39,50 minimum
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Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39,50
Estimated Cost $
Building Permit #
,
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
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Dat~-II~. ,,' r
Receipt Ncrtfj>(96
By
4 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
ADDRESS
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
"'FINAL
n SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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COMMENTS:
DATE TIME
., E. .'"
S-~'O,J
S-4/ L .,. t.J L{ l.
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RJ
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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.
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO"Vr'R REINSPECTION BEFORE COVERING
Inspector: Vi Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .I SAFETYI
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