HomeMy WebLinkAboutPlg Permit 06-0677
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
7. Z I.Ob
~. ~~~ ~:~ I PERMIT NO. 0(,. (J G:, 77
3 Yellow Applicant
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ADDRESS . ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2.5". 300.009. 6
OWNER
(Name)
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(Address)
APPLICANT
(Name)
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P I \.A I'W' ), \ 'V) L LL (Phone) q (' ~ L( l{1
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/tddress) ~ity)' , (Zip Code)
(Contact Person) I-fl- r ~ (Phone) t IJ 3Cc \,,173 I
APPLICANT SIGNATURE /2;~ !I. 54- DATE ~ \,~;}eJJC
APPLICANT PLEA;E COMPLETE BELOW '
Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher I Water Heater
Floor Drain I Water Softner
Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink I Sewage Ejector
Shower Stall I Backflow Assembly
Sinks I Backflow Assembly Test
I Bar Sink I I Lawn Sprinkler
I Water Closet (Toilet) I Other
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(Address)
Quantity
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 $
3Q.SO
.50
./-C . () 0
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid
+0.00
Date 1. U ~ ' (p
Receipt No. 57 11 0
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24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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ADDRESS
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
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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
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
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COMMENTS:
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~, C~L~INSPECTION BEFORE COVERING
Inspector: 1/ VV Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl