HomeMy WebLinkAboutPlg Permit 06-0169
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(Please type or print and sign at bottom)
ADDRESS
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~. ~~~ ~!~ PERMIT NO'OL. all_0
3 Yellow Applicant fP CU7
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. ZONING (office use) .
Irq;' NE L::::J:::>3CJ@
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER. \~ .
(Name) ~ y-~ V C1 'en4-t rr:='
. (AddresS)~S~
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(Phone) LJ03- ()LI~
APPLICANT
(Name)
CULLIGAN WATER CONDITIONING
~ - -
ou~u LlULLI\::iAN WAY
MINNETONKA, MN 55345
(Address) (952) 933-7200
(Phone)
(Address)
(City)
(Zip Code)
(Contact Person) (Phone)
Al >PLICANTSIGNATUI((l hfu0-h~A(Y\~ DATE ~~/3/CfLo
APPLICANT PLEASE COMP#ELOW
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
Bar Sink I Lawn Sprinkler
Water Closet (Toilet) I 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
. .......t::")~C50
Estimated Cost ~ ).
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.3450
.50
LIn .en
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid -fO. 00
Da~?1. () &,
Receipt No. 5// &, S
24 hour notice for aU inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
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ADDRESS
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DATE TIME
SCHEDULED ~~~
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PERMIT NO. ~-/6'9
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
PHONE 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
~MBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: ..~ /
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~ATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, C~L ~ ';NSPECTION BEFORE COVERING
Inspector: d~ Owner/Contr:
/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl