HomeMy WebLinkAboutPlg Permit 02-0796
CITY OF PRIOR LAKE PLUMBING PERMI.'
Date Rec'd
(Please type or print and sUm at bw ....__)
ADDRESS
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LEGAL DESCRL.t' nON (office use only)
LOT BLOCK
ADDITION
OWNER 'L1 +
(Name) L-a.-J-noun/-(L.J n J rrr
(Address) L!fj<3/ w) J ds P K jA/1 J AI w
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APPLICANT CULLIGAN WAlcH COi~[JIII~~"HQ
(Name) 6030 CULLIGAN WAY _
MINNETONKA, MN o~;:)'tO
(Address) (952) 933.7200
(Address)
I. Blue File I PERMIT NO I
2. Gold City . A ") - 7q J
3. Yellow Applicant l/ A (0
(372.)
ZONING (office use)
PM
PILd5. 301,- tX>/--t
(Phone) uS /-22 (p - i'2~J
(Phone)
(City) (Zip Code)
(Contact Person) (Phone)
APPLICANT SIGNATURE ~ ( r~ DATE U/2Dlo2
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 REQUEST FOR INSPECTION
Sinks SENT TO CONTRACTOR. NO
Bar Sink RESPONSE _ CLOSE FILE
Water Closet ( MAY 2003
Quantity
Type of Fixture
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
:f<~~~,",.I1J!;uULE
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 $..2LJ(). P tJ
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Omce Use Only)
This Application Beeomes Your Building Permit When Approved
BuDding Omclal
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Building Pennit #
s--3q.so
S .50
s 'tfJ.(JO
Paid ~ 1../0 oJl-
Date~ '
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Receipt Nli ~UJ
B - ·
y~
DATE
~\-03
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 14~ 3 ,
t~
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
COMMENTS:
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o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
6' qo\SL,.JN, E AIR TST
F"I JL)G,t...... ~
/
~ORK SATISFACTORY, PROCEED
o CORR~C N AND PROCEED
o COR CT R, CALL FOR REINSPECTION BEFORE COVERING
~ .
Inspecto ': Owner/Contr:
CAl~'447 9150 FO~HE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD~ REQklRE}NTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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