HomeMy WebLinkAboutPlg Permit 05-0898
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~. ~L ~~~Iicant I PERMIT NO.5- f 98 I
ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK I ADDITION (!o~7L L.L 6 ~
(Address)
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PID c2<;"-{)()'/-()O] -0
OWNER J)
(Name) Au E-
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APPLICANT
(Name) ~
(Phone)
(Address)
(Address)
(City)
(Zip Code)
(Contact Person)
'3PLICANT SIGNA TU
(Phone)
DATE
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APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn SpJiQkler , /l
Water Closet (Toilet) ~ Other /of...'~ r:J r,~~u-,
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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 $
J? . >D
.50
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Paid LI --
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Receipt ~ 003)
By
it When Approved
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
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SCHEDULED ~
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TIME
12- PIl
/
ADDRESS
I OWNER
PHONE NO.
CONTR.
PERMIT NO.
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D FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
~LUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIF1LLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: 6> .,..
p~
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AN PROCEED
L FOR 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!
INSNOTI