HomeMy WebLinkAboutPlg Permit 02-1107
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(Please type or print and sign at bottom)
ADDRESS
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LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
OWNER ~.
(Name)~UC Or f\...D\f
(Address) J 1~1t1 (5\.)n0
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APPLICANT
(N ame)
9-(p-oZ-
1 Blue File PERMIT NO
2. Gold Cily . /J Z -II 07
3 Yellow Applicant V,
(3,2) ZONING (office use)
PID
(Phone) Cj[2" LtLJ1--,~ 1~2
(Address)
guU.IQAN WATER CONDITIONIN~ (Phone)
6030 CULLIGAN WAY
(Add }t1INNErONKA, MN 55345
ress (952) 933-7200
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (BathroOl
Laundry Tray (1 Oi
Shower Stall
Sinks
Bar Sink
Water Closet (Toilt
(Contact Person) .
APPLICANT SIGNATURE ~Jt1:VltL (~j)~JA!J
Quantity
(City)
(Zip Code)
(Phone)
~ /2I/D2-
DATE
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 cosl with a $39.50 minimum Residential. New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $ 2 DO. t)0
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Appl~/71~n ~ecomes Your Building perm. it When Approved
/V'Wt 1/i. () 1-
Building Official Date
Building Permit # 02 .... 1/ () 7
$ 3Cl .$0
$ .50
$~.()Q
pai~6. () 0
Dateq.... b - o?
Receipt n'4--3 () l..f
By /
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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
( 7:3 7'{
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
0)
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DATE TIME
SCHEDULED
~- 7-~
Sf/V( S~ ........
CONTR..~ ___
PERMI~: )-rr07~
o PLUMBING RI -'. u'EXlGRAD/FILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GAS LINE AIR TST
o MECH FINAL 0
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o WORK SATISFACTORY, PROCEED
, CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Y 7-0? Owner/Contr:
V
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl