HomeMy WebLinkAboutPlg Permit 02-0292
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Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
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ADDRESS
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1. Blue File I PERMIT NO 4--
2. Gold City '-/}.::J. -0 'iQ
3. Yellow Applicant l/O' CJ'-4
Bridal e Ridoe fd;-.
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ZONING (office use)
1?/SD
LEGAL DESCRLl' uON (office use only)
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(Address) 14-{.f)lP.?; Brid ~ a
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
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APPLICANT
(Name)
NORBlOM PLUMBING CO.
(612) 827-4033
astWieQARFIEW AVE. SO.
MINNEAPOUS. MN 55408
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(Address)
(Contact Person)
APPLICANT SIGNATURE
Quantity
Q pel PII9.S-d8"0- ()37-o
(Phone) ~) '-/LIO-CJ160
(Phone)
(City) (Zip Code)
(Phone)
DATE ~/28lo~
Type of Fixture
of
Rough- ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
. Sewage Ejector
Backflow Assembly
. Backflow Assembly Test
Lawn Sprinkler
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 $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
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,50
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Paid Lf(), 00
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DATE TIME
ADDRESS
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SCHEDULED ~~ 'J,' 0"0
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CONTR,
. cITY OF PRIOR LAKE
INSPECTION NOTICE
PERMIT NO.
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OWNER
PHONE NO,
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FI CERI
o LACE FINAL
ASLlNE AIR TST
o FOOTING
o FOUNDATION (W
o FRAMING
o INSULATION
..,zOFINAL
o SITE INSPECTION
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~ ' _ Qwner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &. SAFETY!
INS/'IOTl