HomeMy WebLinkAboutPlg Permit 04-1162
Date Rec'd
CITY OF PRIOR T.A VJ;' DT TTMBING PERMIT
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 01-06
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ADDRESS
15~() LU,' IdS Pkwy
L Blue File I PERMIT NO I
2. Gold City . 04.-" // to z.
3. Ye!low Applicant
ZONING (office use)
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LEGAL DESCRIPTION (office use only)
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BLOCK
ADDITION
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OWNEIY-\ . ) l I
(Name)~ L..CJeer-
(Address)5a rY"'UL19.s A ~
APPLICANT
(Name)
CULLIGAN WATER CONDITIONING
6030 CULLIGAN WAY
MINNETONKA. UN 55345
(A(95S~) 933.7200
(Phone)
(Address)
(City)
(Zip Code)
(Contact Person) (Phone)
APPLICANT SIGNATU~~(YlJ-h~ DATE '()-dR-QLj
APPLICANT PLEASE COMPLE~ELOW
Quantity Type of Fixture Quantity\:..i' Type of Fixture
Bath Tub with or without shower I Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
I Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink I Sewage Ejector
I Shower Stall I Backflow Assembly
I Sinks I Backflow Assembly Test
I Bar Sink I Lawn Sprinkler
I Water Closet (Toilet) I 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
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Estimated Cost $~ I J.
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
,4=1.Sn
,50
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(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
paid4-0. 0 0
Date/I, IZ.. tJ f*
Receipt No. 4-836/
BYi!ltt
r
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
SCHEDULED ~~
ADDRESS , S'ACo 1 \.,J ~l Als ~k< W'-6
OWNER CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
PHONE NO.
PERMIT NO.
1...1 ... 11 C, "2..-
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 EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
X~A:E:~%
COMMENTS:
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE K, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: Owner/Contr:
CA ~ 44~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSliOTl