HomeMy WebLinkAboutPlg Permit 06-0678
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
7. ~8. oh
I. Blue File PERMIT NO
2. Gold City . A / . 0 / 7' (J
3 Yellow Applicant U W '" 0
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
~30
Fa, r r <J. tAJ ,J
S~a/O~ tr'
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2$. 031. 0 (/., J
OWNER
(Name)
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(Phone)
(Address)
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APPLICANT
(Name)
Quantity
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(.,c::,~:, l L{ ( --\- ~
Il...... (Address)
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APPLICANT PLEASE COMPLETE BELOW
Type of Fixture I 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)
lL<
<:;~ W
(Phone) ---'I) 31.6 l{ 7 J'
5pw~ M,,-<:::5;3"78"
(City) (Zip Code)
(Phone) {" I () J&' ~7'}'
DATE -->>A' lJ~ )a c
(Address)
(Contact Person)
APPLICANT SIGNATURE
Type of Fixture
Rough-ins
Water Heater
Water Softner
I Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
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 $
39. Sf)
.50
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(Office lJse Only)
This Application Becomes Your Building Permit When Approved
Paid
4'0 ~ (jl)
Receipt No. -Sl9'f 0
(I
By 1.
'f
Building Official
Date
Date
1. '1/'/'(7
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
8./. eG.
"f.,
ADDRESS
5 C::3 0
m /~/lI1//l/ SHCJ/ZL;S'
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
o PLUMBING FINAL
o MECH FINAL
II ~ & /If/
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
L-/411//l/ I ~ Cj .
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~, C~R REINSPECTION BEFORE COVERING
Inspector: '1/ !/f Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl