HomeMy WebLinkAboutPlg Permit 02-0912
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
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ADDRESS
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3. Yellow Applicant '-'
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ZONING (office use)
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LEGAL DESCRlt'uON (office use only)
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APPLICANT J J /'
(Name) u.-"'h~ ,--r<</~H,I;r (phone) ,>~ -7rJ- Y;).J /
(Address) ,J~I ~ A.,., J Jr/ Me- /re'JJi lA.l t)~D7 J
(Address) (City) () (Zip Code)
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APPLICANT SIGNATURE (7-/ ~ {) DATE _~//L.LO 2.
APPL1'CANT 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)
(Contact Person)
Quantity
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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 $ to tJ
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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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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ADDRESS
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 FIN~
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COMMENTS:
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DATE nME
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o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~AIRTST
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. WORKSATISFACTORV, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT.~O~ALL FOR REINSPECTlON BEFORE COVERING
Inspector: r VI' .3 -jl../;o() '7 OwnerlContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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