HomeMy WebLinkAboutPlg Permit 02-0867
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I. Blue File
2. Gold City
3. Yellow Applicant
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I PERMIT NO.Ool- J~ 71
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(yLM60V\ C -\ .
ZONING (office use)
LEGAL DESCRIPTION (office use only)
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LOT
BLOCK
ADDITION
OWNER
(Name)
C(LV(j\ CAJ~
(Phone)
qt:9. 440 -8l-tcD
(Address)
~;;~~ANT f\ -Q.VQ\I\'j
(Address) _1OO'L l';}.
(Address)
D tyUt,'2)
(Phone) lo (d - 80 , - 5;} t. 0
C~Q~ 56311-
(City) (Zip Code)
(Contact Person)
APPLICANT SIGNATURE ~-
(Phone)
~
DATE 7-( S-~o~
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
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 I 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 $ ~q so/
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ ~O4lO/
(Office Use Only)
Building Official
Date
Paid / /.. ..--
-to.
Date ""-1
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
.
q-I/-:f?J
ADDRESS
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
2-8'C7
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
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
L-u t..-IA.
.spr~~U~
~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, C LL FOR REINSPECTION BEFORE COVERING
Inspector: '1 ,. (( 0 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTl