HomeMy WebLinkAboutPlg Permit 06-0712
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(Please type or orint and si~ at bottom)
I. Blue File
2. Gold City
3 Yellow Applicant
PERMIT NO. fXo"D1lzf
ADDRESSSS35' hocuJ-~ ~-
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LEGAL DESCRIPTION (office use only)
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ZONING (office use)
LOT
BLOCK
ADDITION
PID
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(Address) - f?)(~ JQ ~uit-tZ_~ ~ Sb
~~;;~~~~ -V('~ K~~ '--' _ (Phone) 95:2 .L/jg . ~W
(AddreSS)~\5 ~()C)-+h ~\ \A.) (JU-K.tV.tllqfYlN S5()L/'4
(Address) \ --::--- (City) (Zip Code)
(Contact Person) ~f\ () \ \\ ~~n (Phone) gS;;t. '-/ leg .&q qq
APPLICANTSIGNA~URE =-\... - '~~.QATE --,. ~,~ Ov
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APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity I
Bath Tub with or without shower I Rough-ins
Dishwasher I Water Heater
I Floor Drain Water Softner
I Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink I Sewage Ejector
I Shower Stall Backflow Assembly
I Sinks Backflow Assembly Test
I Bar Sink I Lawn Sprinkler
I Water Closet (Toilet) I Other
(Phone)
1-jL/D' 475~
Quantity
Type of Fixture
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 $
3(1.$0
i-in ou.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid 1-0.00
Date B, & , 0 (,
ReCeij; No. 5Z,ZOr
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
ADDRESS
DATE
CITY OF PRIOR LAKE , / _ /
INSPECTION NOTICE SCHEDULED R- /,2/ /6"
, r '
S~sS- .&v~/y 01-
/
CONTR.
TIME
OWNER
PHONE NO.
PERMIT NO.
~-?a
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
~LUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMEN~ ~,/.,
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~ATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, C::L~ REINSPECTION BEFORE COVERING
Inspector: ~4A .. ~ner/Contr:
.~'
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl