HomeMy WebLinkAboutPlg Permit 02-1560
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
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LEGAL DESCRIPTION (office use only) I)
WT N BLOCK tj ADDITION -;/.,h~ a...,.
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(Address) 5700 maves -rrcuA oOu.J:,VLCast'
(Phone) ((jJ/2) gZ7"L/O ~~
m piS. 684'-14
(Address) (City) I (Zip Code)
(Contact Person) ,,}eff N Of bl C5YY7 (Phone) ((tJ/Z) 't"b7"L/O 33
APPLICANTSIGNATURE ~ DATE II /30/0?-
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (l or 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
(Please type or print and siWl at bottom)
ADDRESS
5700 rYIaves Trail SOuJJltaJ)t-
~;;~~ANTNort:Jl OYYJ PLumbfna
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(Address) ?!ID5 t/Mfield /tV ~.
Quantity
I. Blue File PERMIT NO
2. Gold City . A")...., / t:::"'/ i ~
3. Yellow Applicant V~ J be../
ZONING (office use)
1!-/50
PID~5-/~5'- 06.~-,~
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 $ Lf 00 ' ~
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
<51. f:!J
.50
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Paid L(O I ~
Date /~ '" 5-0C)--
Recei2fdq9 ()
By tfV
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
DATE TIME
CITY OF PRIOR LAKE jl-2,t q/Ct\
INSPECTION NOTICE SCHEDULED
ADDRESS r-l(J) }tta&;t ~.i/ 1'Y/
OWNER CONTR.
PHONE NO. PERMIT NO. J- - /S"&D
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0
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COMMENTS:
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o WORK SATISFACTORY, PROCEED
'CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ /1,21,rJ1- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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