HomeMy WebLinkAboutPlg Permit 02-0767
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
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I. Blue File I PERMIT NO I
2. Gold City . 0'" ~()7/7
3 Yellow Applicant V V
(Please type or print and si~ at bottom)
ADDRESS S937 ~.s,4 AlL),e.,q S I.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Address)
APPLICANT I d'/
(Name) f.-p9'i1Cl O~ ~ P/~
(Address) ;;Lo t ~ (? f} fl-v"l ;;J.
(Address)
{ContactP<=n} LIM~ 0... de, j /I~
APPLICANT SIGNATURE ~a~
ZONING (office use)
PID
(Phone)
9~ 30- ~?'J5"-s~
~ .5 S J ,/3
(Zip Code)
(phone)
fir> (J 0r (
(City) Ie t ~
(Phone) :1 J- ( 'L{ rv if
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DATE
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)
Quantity
Type of Fixture
p
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 I % of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This APpli\~~~ Bjj'fme:;JJIr Building Permit When Approved
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Building Official Date
Building Permit # /J Z - Cl7 "1
31. 50
.50
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Date
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ReCe~t .J '1 r
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By
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24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
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SCHEDULED
ADDRESS 5957
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING ~
o INSULA TIO
FINAL
~ SITE INSP C
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~
I
COMMENTS:
(If~
, -
~
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~ORK SATISFACTORY, PROCEED
(0 CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl