HomeMy WebLinkAboutPlg Permit 02-1572
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
IZ- ,. tJZ-
t. Blue File PERMIT NO
2. Gold City . .;"\? _ 'S -i2.'
3. Yellow Appticant V'- " /
(Please type or print and si~ at bottom)
ADDRESS
68{,7
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ZONING (office use)
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LEGAL DESCRtt'uON (office use only)
LOT I BLOCK I ADDITION Wt:l',r:;-MbV~
PID ZS--/'ll- Oa/- 0
OWNER
(Name)
De J lif-t
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GJwS+""d8'1-~
136 \.\-d }0/
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(Phone)
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(City) i (Zip Code) .-J J-: ~7~
(Address)
Quantity
(Address)
B-e..-rt..J~ _
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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)
(Phone)
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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 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Permit # () Z. -is 7 z.-
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.39,5V
.50
4(). 0 0
(Office Use Only)
This AP~~' io ~es Your Building Permit When Approved
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Build g Official Dhte
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Date
17./ 'I' ()"'L
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
SCHEDULED
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ADDRESS
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OWNER
CONTR.
PHONE NO.
PERMIT NO. () '2:. -/ S- 72-
i{E) ~ PL~MBING RL L." L. r 0 EXlGRAD(FILLING
o MECH RI lA .<bt. 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
\ 0 SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS: II~~ <-h ~ :t:i ~
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\"il.ltlWlUW ""'.LituIU.L INSPECTION
CLOSE FILE 2/14/03
o WORK S,
~CORREC1~_.nn'~n~rn~~~
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ~ . Owner/Contr:
9
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI