HomeMy WebLinkAboutPlg Permit 02-0180
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CJr~ PRIOR LAKE PLUMBING PERMIT
Date Rec'd
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ADDRESS 3 a.J v'. 5 / vJ
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J.Blue~
2. Gold' ~
1 Yellow Applicant
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PERMIT NO.t1A ~~"",
ZONING (ollice'use)
LEGAL DESCRIPTION (office use only)
LOT ~LOCK ADDITION
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PID 25.0 l ':i . (AJ 1'/'0
~=e~R .tJa..li+Chu/es (Phone) (~5Z) "''/7-~q~
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APPLICANT l \ b\ \) L
(Name) ''lOr OYV\ r\UNV\O\"'()
(Address) 2!10S 6,a-rhe /d Ifve . ~,
(Address)
(Phone)
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(<OIl) 827 -t/c33
55tfo'(
(Zip Code)
(Contact Person) (Phone)
APPLICANT SIGNATURE ~ -:;;v~~ DATE Z/;'5/tJ2
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture ~ Quantity
Bath Tub with or without shower - I Rough-ins
Dishwasher I I Water Heater
Floor Drain I Water Softner
Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink I I Sewage Ejector
I Shower Stall I I Backflow Assembly
I Sinks I I Backflow Assembly Test
, I Bar Sink.. I I ~awp Sprinkler
I Water Closet (Toilet) I I Other
Quantity
Type of Fixture
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! FEE SCHEDULE
Industrial, Commercial & MUlti-familyfi% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $ 3tJO c
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERNUT FEE $
3tt. S'O
.50
~O.OO
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid > . /v)
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Dat~ (- /'! .....
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Receipt No. .....
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By (./
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
DATE TIME
3-~o;2--" 3 :36
B 1/ 8{.> 0tavm~ Su
CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
~CHEDIJ.LED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATI~
FINAL
~ SITE INSP CTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
'Jd WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
'",peolo" ~ \ Owo..lComc
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYl
INSNOTl