HomeMy WebLinkAboutPlg Permit 02-0248
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMI.
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I. Blue File
2. Gold City
3. Yenow Applicant
I PERMIT NOt),; -c1~ 3"
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ADDRESS
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ZONING (office use)
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LEGAL DESCRIPTION (office use only) "
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APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher I Water Heater
Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (l or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
. Water Closet (Toilet) 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
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$--31~SO
$
$
.50
LID ,09
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
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Date 3- J ~-(Jd-
Receipt No. .A
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24 hour notice for all inspections (952) 447-9850, fax (952) 4474245
o PLUMBING RI
o MECH RI
o WATER HOOKUP
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CITY .oF PRIOR LAKE
_, INSPECTION NOTICE
ADDRESS
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OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING tJ
o INSULATION
liJr FINAL
o SITE INSPECT N
COMMENTS:
DATE TIME
SCHEDULED 3{'l7/0 2-
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CONTR.
z:oo
PERMIT NO.
o '2. - ;ll.( R'
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~WORK SATISFACTORY, PROCEED
(0" CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~ . Owner/Contr:
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CALL 447-9850 FORTHE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTI