HomeMy WebLinkAboutPlg Permit 02-1607
/
Date Rec'd
ell f OF PRIOR LAKE PLUMBING PERMIT
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(Please type or print and sUm at h".."_)
ADDRESS
\-::'3IB ~e.r.rersvctSS
~::~ ~~~ PERMIT NO. /)Z_/~()~
3. Yellow Applicant V, I' I
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L 3,2.. ) ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER . \ Jl ~ A '"
~ame)~~
Jt1nssCr\
(Si{tv\e, as above-")
(phone/162-t':f12- 12~
(Address)
APPLICANT
~ame)
(Address)
CULLIGAN WAT~R CONDITIONING
6030 CULLIGAN W,AY (Phone)
MINNETONKA, MN 55345
. . __ (952) 933-7200
(Auw\;,..)s) (City)
(Zip Code)
(Contact Person)
l4.~ /~~
(Phone)
APPLICANT SIGNATURE
DATE
/2--3-02-
Quantity
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)
Type of Fixture
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 $ aDO-
Building Permit # IJ Z" / {, 0 7
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
,-3C1.60
.50
40.DO
(Office Use Only)
This Apf"'~ 1tec~ Your Building Permit When Approved
16f'J-yq-- 11..-. l't . c)"'2-
Building Official Date
pai~ o. era
Date
12.-" 1'1. 07--
Recei~~A47
BYcf- .
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIllE
SCHEDULED l2 -30-oa. ::2=00
ADDRESS
< J:x51~ J~ Rs>
OWNER
CONTR.
PHONE NO.
PERMIT NO.
0'2.- I~!
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
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
--/1 0 GASLINE AIR TST
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COMMENTS:
.:I)y/
1111
.i. WORK SATISFACTORY, PROCEED
o CORR~EON AND PROCEED
o CORR CT RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector \j Owner/Contr:
CAL~O FOR, THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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