HomeMy WebLinkAboutPlg Permit 02-0594
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMI.
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ADDRESS
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i:~ ~~~ I PERMIT NO. /') '"') _ r q~t
3. Yellow Applicant (/ t::J" .;;;J 17
ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT 1 BLOCK ADDITION~ uct; &OcV#~
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OWNER
(Name)
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(Phone)
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(Address)
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APPLICANT SIGNATURE ~~
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1~ ~ 88'
APPLICANT Sn 0 _
(Name) ~
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(Address)
(Address)
lLG
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(Phone)
frl VI L~
(City)
(Contact Person)
(Phone)
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(Zip Code)
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DATE &I fI1~ ~
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Quantity
Type of Fixture
I
Rough-ins
Water Heater
Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
I Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
I Other
I
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 $
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
~ Cf~ 50
.50
t-ltJ" c9'0-
$
$
$
(Office Use Only)
Building Official
)
Paid -#/(1/ cJV Receipt Nt{ {)I)ql;
Date B~ /1a .
Date Fi -d-:3-~d- -/ / :l'(l./
24 hour notice for all inspections (952) ~7-9850,;;: (952) 447-4245 ~I
This Application Becomes Your Building Permit When Approved
PHONE NO.
DATE TIME
-=y.J rk= A, r,
/44&'r ~ ~1-cL ftl-.
CONTR. .
PERMIT NO. -- 5r1 ~ 00- (JO( 5'
SCHEDULED
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
o FOOTING
o FOUNDATION (i)
o FRAMING
o INSULATION
~ FINAL
] SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~CALL FOR REINSPECTION BEFORE COVERING
Inspector: #0 ~ . Owner/Contr:
CALL 447-9850 ;dR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
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