HomeMy WebLinkAboutPlg Permit 02-0294
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
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ADDRESS
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ZONING (office use)
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LEGAL DESCRLr lION (office use only)
. LOT / tJ BLOCK 3 ADDITION~J () Wd;.;
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(Address)
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OWNER
(Name) _
APPLICANT
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APPLICANT SIGNATURE ~~ ~ DATE
WPLICA PLEASE COMPLETE BELOW
Type of Fixture Quantity I
Bath Tub with or without shower . Rough-ins
Dishwasher \ Water Heater
Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet {Toilet) Other
Quantity
Type of Fixture
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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 $ ~
Building Permit #
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PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
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.50
(Office Use Only)
Building Official
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24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Date
Receipt ~/63"" 0
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This Application Becomes Your Building Permit When Approved
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cITY OF PRIOR LAKE
INSPECTION NOTICE
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ADDRESS
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OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
- -
SCHEDULED
6sz21~ &
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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OATE
TIlle
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o EXlGRAD/flLLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
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,. WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
,....,ed.r. -I- t 1- J. '!rlf} (jNne</COO'" -
gALL 447-9850 FOR THE NEXT INSPECTION 24 HQ.I)RS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &. SAFETY!
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