HomeMy WebLinkAboutPlg Permit 02-1237
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
(Please Me or orint and sign at bottom)
ADDRESS
~~
t53'4 ~
I. Blue File
2. Gold City
J Yellow Applicant
ZONING (office use)
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LEGAL DESCRIPTION (office use only)
Lo.el BLOCK 3 ADDITION .lVI le{/) ~dJl
I OWNER
(Name)
~ RHOO~
~
(Address)
APPLICANT f\ '" \ I ; ^ c:..
(N ame) n- v.-v ()v "'---J
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(Address)
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(Address)
(Contact Person)
APPLICANT SIGNATURE
PID~S- -, Bfd -()f5:-~ 'V
(Phone)
I
Ln I do - 391-LjOlc>x'
. (Phone) La, a - 8D l - Q3-Ld)
r.Wl.Y\~ 5531T
(City) (Zip Code)
(Phone)
,~
DATE
APPLICANT PLEASE COMPLETE BELOW
Quantity I Type of Fixture
I Bath Tub with or without shower
I Dishwasher
I Floor Drain
I Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
I Shower Stall
I Sinks
I Bar Sink
I Water Closet (Toilet)
Quantity I Type of Fixture
I Rough-ins
I Water Heater
I Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
I Backflow Assembly
I Backflow Assembly Test
tJ( I Lawn Sprinkler
I Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
Estimated Cost $
\ 4000
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Building Penn it #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
() q. 5'0
.50
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(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447..9850, fax (952) 447-4245
Paid
Receipt No. ?
1-1..) X b J
B . /\ .J
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Date. ....., '"'\
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULE:D -b ~ 11- 3
r
153'ib ~ &OCL~ f(..d~
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CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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Inspector:
Owner/Contr:
CALL 447..9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ