HomeMy WebLinkAboutPlg Permit 02-0726
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
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ADDRESS
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I. Blue File I PERMIT NO
2. Gold City ~ 1--1-- / .
3. Yellow Applicant l"L/?to /d-fC)_
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ZONING (office use)
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LEGA~ESCRIPTION (office use only) . ~ '
LOT~ BLOCK I ADDITION It/~.~rl-d; PIW5'3?;;8"O~-cp
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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)
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(Address) I U/.pq, PJlmrt ~
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(Address)
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APPLICANT SIGNATURE ~
(Address)
(Contact Person) ~
Quantity
(Phone) (qv;~) '11-0-/71>').
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(Phone) (Lf 1-:;..) f'J.7-l.fQ23
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(City) (Zip Code)
(Phone) (f..R /?-) g -;, 7 - 'fO 3 ~
DATE /.f) I g I O?-
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
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FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
Estimated Cost $
,
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
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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.50
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Date &-t~' c7-
Receipt Nil ~ '30 cf
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE nilE
SCHEDULED j ()41-o.~
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CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
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EYWoRK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, ~~FOR REINSPECTION BEFORE COVERING
Inspector: -1A1i Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOn