HomeMy WebLinkAboutPlg Permit 05-1013
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REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 01-06
CITY OF PRIOR LAKE PLUMBING PERM..
Date Rec'd
10. / /, bt>
(Contact Person) \. A
,r-'~PLICANTSIGNATURE ~..Gf ~ ~' o.~~
,
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)
~ lytIC! or orint and sim at bounml
ADDRESS
\'141 ~ Do.Qr~~, f\t..,Sf
LEGAL DESCRtr 110N (office use only)
LOT BLOCK
ADDmON
&=R"lo..\C~S G7Q.f\A\ r ~
(Address) ~~. MZ
APPLICANT
(Name)
CULLIGAN WATER CONDtTlONING
8030 CUlllQAN WAV
MINNETONKA, MN 55345
(Address) {852) 9~l~l 7290
(Address)
I Quantity
: ~~ PERMIT NO. ()I,e-. /01' ":)
low Appliconl ;;::;J , ..J
ZONING (ofticeuse)
~5 ~')~~
PID:z.5. +07.0+{" ()
(phone) <1 ~ ~- :;~::;)..lo #> ~
(Phone)
(City)
(Zip Code)
(phone)
DATE
~ J ~-oS
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE S\..:t1EDULE
Industrial. Commercial & Multi-family I % of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $ ~O ..-
Building Permit #
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
--- "'his Application Becomes Your Building Permit When Approved
Building Official
Date
$~9. 5D
$ .50
$ LI () ~ t".>C'.
,<
Paid 10. rV
Dat10./'oI0S'
Receipt NO'~3(Jr
sf. I
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24 hour notice for all inspections (952) 447..,850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
DATE TIME
CITY OF PRIOR LAKE ' L
INSPECTION NOTICE SCHEDULED ~/~
ADDRESS 177" 7<G #..e e-rIl-cl! /Jr
OWNER
CONTR.
PHONE NO.
PERMIT NO.
s- /t::7 B
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
~UMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: _ _ 1 J r /') /
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~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~ ~y FOR REINSPECTION BEFORE COVERING
Inspector: / n ../ Owner/Contr:
~
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
/JiSNOTI