HomeMy WebLinkAboutPlg Permit 02-1156
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
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I. Blue File I PERMIT NO ~
2 Gold City . /)/_ ,'~
3 YeJlow Applicant [LJ~"" ~
(Please
ADDRESS
303<P
ZONING (office use)
R/50
L.."- k.e. W \/ ~ 0,- tJ lIJ
LEGAL DESCRIPTION (office use only)
LOT
,;2~
PIDJ5- 7/-01;)-0
OWNER
(Name)
J)~vld
308lo
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Ld...1[~~ ex- N vJ
(Phone)
Glt;;).- 4lfD - 3lo~
(Address)
APPLICANT
(N ame)
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qso.- gq5- 3t.f39
(Address)
(Contact Person)
(Address)
1\yY\ ~~I tn'
~
(City) (Zip Code)
(Phone) ~ sa - <('1 S; - 3 i.I..s'l
DATE qllo 10:;-
APPLICANT SIGNATURE
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 Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector .
Shower Stall \ Backflow Assembly -hv \ t:l4.un 5 ~ "" t..lJ A
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 $
~"g Og
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOT AL PERMIT FEE $
'3'i.50
.50
LfO~O()
(Office lJse Only)
This Application Becomes Your Building Permit When Approved
Date
Paid L.;I:J _ -----
Dateq_I'3 ~O~
Building Official
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
SCHEDULED IO-16-0L 4:00
LA. ~ c+-
CONTR.
PERMIT NO. '2- (1~tJ
CITY OF P~IOR LAKE
INSPEC ".)NNQTICE
ADDRESS 308 ~
OWNER
PHONE NO.
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 EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
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~~
COMMENTS:
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/
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0"
.
I
1r
~: SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
K, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CA
850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl