HomeMy WebLinkAboutPlg Permit 02-1349
Date Rec'd
CITY OF,PRIOR LAKE PLUMBING PERMIT
I, Blue File
2 Gold City
3 Yellow Applicant
ADDRESS
., .s E
LEGAL DESCRIPTION (office use only)
LOT' BLOCK ,5 ADDITION
PID
o
OWNER
(Name)
(Phone) -3 hI) tft-/l 10 l.J I
(Address)
APPLICANT
(Name)
CULLIGAN WATER CONDITIONING
6030 CULLIGAN 'NAY
MINNETONKA, MN 55345
(AdA~) 933- 7200
(Phone)
(Address)
(City)
(Zip Code)
(Contact Person)
(Phone)
APPLICANT SIGNATURE
DATE
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain I Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) 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 $ I) 00. ~D
Building Permit #
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ ,~q. EJO
$ .50
$ -'0. DO
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid ... ______
Lj{J,
Date/L. 0-
0- .-
..
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
ADDRESS
OWNER
17o/LI
DATE TIME
SCHEDULEP /O"'~r q .' 0 ()
W, tel 1',- YlCS> II-
CONTR.
PERMIT NO. J-- ( 14 q
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON
o FINAL
o SITE INSPECTION
COMMENTS:
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
We,.( 4/,gfT@
( t6Sc
hilL
fWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: r1f 10 "'t.5 -0'- Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH de SAFETY!
INSNOTI