HomeMy WebLinkAboutPlg Permit 06-0596
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
(Please type or Drint and silU1 at bottom)
ADDRESS
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LEGAL DESCRIP~ION (office use only) Ii /1 .
LOT/V BLOCK3 ADDITION~ ~
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(Address) ~~
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APPLICANT 1/ 1)1, , . . L .
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(Address)
(Contact Person)
A.PPLICANT SIGNATURE
Quantity
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
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Estimated Cost $ '1 V u
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3 Yellow Applicant UCt:;::J ~ 74:?
(Phone)
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ZONING (office use)
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(Zip Code)
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Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
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Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Building Permit #
~'1 (Phone)
(; DATE
PLI~ANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
I Floor Drain
I Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
I Shower Stall
I Sinks
I Bar Sink
I Water Closet (Toilet)
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
'?9 .50
_ .50
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Paid
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Dat7
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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
Building Official
Date
Receipl)lo.
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By 9--
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CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
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ADDRESS
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OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
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L., I U:;C
CONTR.
PERMIT NO.
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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
o
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;'WORK SATISFACTORY. PROCEED
o CORRECT ACT5?TON AND PEED
o CORRECT WORK, CA F REINSPECTION BEFORE COVERING
Inspector: 11 Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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