HomeMy WebLinkAboutPlg Permit 06-0592
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CITY OF PRIOR LAKE PLUMBING PERMIT
(Please type or print and sign at bottom)
ADDRESS
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3 Yellow Applicant ~ "-.,rI7cPL-
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LO~ BLOCK I ADDITION
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LILA PIDd5-3~;(-OO:3-0
OWNER \ -O~.
(Name) \_exfLj 10m I J e..
(Address) c.,SCUY-._L ~(\ Or L-c\..\Le.. Mt-J. SS 3 7 ~
(Phone) q~j"a -447.- /7/ to
APPLICANT H. p,
(Name)
367
Ea9c.H1A'N~ 55 i 23
(Contact Person) ~r i S 0 \ -G \'l
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(Address)
(Phone) 1fj \ - 3b0 -- I 34 ()
(City)
(Zip Code)
APPLICANT SIGNATURE
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(Phone)
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DATE
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APPLICANT PLEASE COMPLETE BELOW
Quantity 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)
Laundry Tray (lor 2 compartment sink I Sewage Ejector
Shower Stall I Backflow Assembly
Sinks I Backflow Assembly Test
I Bar Sink Lawn Sprinkler
I Water Closet (Toilet) 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 $ ;J () 0 . Db
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOT AL PERMIT FEE $
jq. 50
.50
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(Office lJse Only)
This Application Becomes Your Building Permit When Approved
Building Official
Paid L/o . ---
D,', Da~_ 3 h
24 hour notice for aII inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
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DATE TIME
SCHEDULED ~~~~
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/6.s~.2
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
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMM~S:?
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~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, ~ALL REINSPECTION BEFORE COVERING
Inspector: J1~ Owner/Contr:
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CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl