HomeMy WebLinkAboutPlg Permit 06-0327
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~. ~~~~ ~i~ I PERMIT NO.O J- ,3;2 It7
3 Yellow Applicant <.o-.!
ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
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(Phone) -.JS?- -~11 -C~J.
(Address)
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(Address)
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(Address)
(Phone)ffc7 lJtJ7 ~~,
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APPLICANT
(Name)
\PPLICANT SIGNATURE
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(Contact Person)
NT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink I Lawn Sprinkler
Water Closet (Toilet) \. Other
FEE SCHEDULE
Industrial. Commercial & Multi-family I % 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 $
TOT AL PERMIT FEE $
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Recei ~q 9
By 6i~
Date
-10
Building Official
Date
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
ADDRESS
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OWNER
CONTR.
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7?/
TIME
PHONE NO.
PERMIT NO.
~ --527
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
.A!MS[UMBING FINAL
o MECH FINAL
COMME.:;S:
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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m~
~TISFACTORYI PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~~~:;.7EINSPECTION BEFORE COVERING
Inspector: F ~ Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!