HomeMy WebLinkAboutPlg Permit 02-0334
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
4-8-02-
,
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ADDRESS
'I
I. Blue File PERMIT NO ~
2. Gold City 'jel,,, -033 .
3, Vellow Applicant , /et4
612Lf CPnduns 5u<<.--t ~, E.
ZONING (office use)
R,ISV
LEGAL DESCRIPTION (office use only)
LOT/:f..aLOCK
ADDITION
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PID;;;/S--OJ-q- ()oq-P
OWNER K I
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APPLICANT, \ -.L\ ""j"') .L
(Name) NOt --0 OW'\ rhJAMDl'i\ri
(Address) 2Cj 05" UJA4"-h'e Jd 'fJv ~. So.
(Address)
(Phone) lq5'2) "L/7~ 137&:,
(Phone)
Mo\s
(City)
((0 ll) '8' Z 7- '-1033
5""s-L/ DE
(Zip Code)
(Contact Person)
. APPLICANT SIGNATURE ~~~
P", V
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)
(Phone)
DATE
3/Z'/P2
Quantity
Type of Fixture
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 $
TOTALPERNUTFEE $
31 . 5"0
.50
~() . CO
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
\
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24 hour notice for all inspections ft52) 447-9850, fax (952) 447-4245
,
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Date
P~LI()loO
DateLf -q -() ~
Receipt NOl.//5 70
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CITY OF PRIOR LAKE
INSPECTlO/,{' NOTICE
SCHEDULED
ADDRESS
of/~f
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
t#;;LJ ~
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COMMENTS:
DATE
TIME
Ycl'l-d-
:l-39~/
/
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION~r D PROCEED
o CORRECT WO~ :~ fL :OR REINSPECTION BEFORE COVERING
Inspector: I~ V Owner/Contr:
. \
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl