HomeMy WebLinkAboutPlg Permit 02-0729
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~: ~~ ~:~ I PERMIT NO. /9 .., ..... IJ Q
3. Yellow Applicant u.~ .L~
ZONING (ofticeuse)
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LEGAL DESCRIPTION (office use only)
LOT 3BLOCK
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(Phone) 9'~ . 441 .. ;;) (,9L
OWNER
(Name)
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(Address)
APPLICANT
(Name)
(Address)
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(Address)
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(Phone) {, \ d.... ~ \ - Od (olJ
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(City) (Zip Code)
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(Phone)
(Contact Person)
DATE
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 l 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 $ ,'-\ 0 ~y
Building Permit #
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ ~q S?,
$ .50
$ ,. ,\0 ~
(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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I (PC-7S- IA/;~r~~ Iv I
,j fY OF PRIOR LAKE
INSPECTION NonCE
SCHEDULED
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 FINAL
COMMENTS:
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DATE TIME
2-7LCf
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
-er1VORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: jI/;('? q~'t -06 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!