HomeMy WebLinkAboutPlg Permit 02-0093
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
L Blue File
2. Gold City
3. Yellow Applicant
-/.2 -:' - &1
/-- 25-7
I PERMIT NO. Oz. -oeli;
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l..311) ZONING (office use)
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(Please tvDe or Drint and silm at tu.""~)
ADDRESS 44 ~ { l=bndvlu0' vritl SE
LEGAL DESClht'uON (office use only)
LOT
BLOCK
ADDITION
PID 25-350-020-0
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(Address) ~ ~ A8wE
(PhOne)(~'5aJ 44D. 51alo
(Address)
CULLIGAN WATER CONDIlIUNtt.jG
eoao CULl\GAN WAY
M\NNETON,KA, MN 55345
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(Phone)
I APPLICANT
(Name)
(City)
(Zip Code)
(Contact Person)
--
(Phone)
APPLICANT SIGNA TU
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DATE
'''1\0\
APPLICANT 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 Trav (lor 2 compartment sink Sewage Ejector
SI Backflow Assembly
Si Backflow Assembly Test
B Lawn Sprinkler
~ C>dner
I'I!I.I!. ,;n;HEDULE
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 $ ~OO Q2
Building Penn it #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
3q ,5'0
1_ .50
~) 6 QQ
(Oflice Use Only)
This Applicati~~ BJC~S Your Building Permit When Approved
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BuDding Orneial Date
Paid
4-6. 0 0
Receipt No. A /
6 .#<r['/7f;
ByfUP
Date
1-2..).01-
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24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
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>S6 n u"PRIOR LAKE
INSPECTION NOTICE
DATE TIME c-'
9-/3-{)7l- (.1,/
SCHEDULED
ADDRESS
Z/t.(~1
{J Ch1 d0YitLl
OWNER
CONTR.
PHONE NO.
PERMIT NO.
;:::; _ '1 5
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
Wr
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
(-~
1.f1w0RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~r;;' CALL FOR REINSPECTION BEFORE COVERING
Inspector: 11{/ q -/3-()Lowner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
'NSNOTl
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