HomeMy WebLinkAboutPlg Permit 02-0997
07/01/02 MON 10:~~ FAX 6124474245
CITY OF PRIOR LAKE
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CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
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APPLICANT PLEASE COMPLETE BELOW
Type of Fixture QaanUty
Bath Tub with or without shower
Dishwasher
Floor D.l'lIin
Lavatory (Bathroom Sink)
I Laundry Tray (1 or 2 compartment sink
Shower Stall . .
Sinks
Bar Sink
Water Closet: (Toilet)
(PIeue ~ or Print llDd. sic at botcrlrtl.)
ADDRESS
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LaG-AL DESCRIPTION (office U8C oDly)
LOT (( BLOCK (ADDmON
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APPLICANT SIGNATU
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Quutity
FEE SCHEDULE
Industrial. Commercial &; Muld-fanlily 10/0 of job cost with a $39.~O minimum
Estimated Cost S
PLUMBING PERMIT FEE $
STATESURCHAROE $
TOTALPERNnTJEE S
(ome. Vie Onl)')
This Application Becoml!lS Your Buildlne Permit When Appr(t\'ed
BvUding Offida'
Date
~: ~': ~:~y I PERMIT NO. () ~ - t'7 om
J. vcllooo "!'Pi""l 7 I ~
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ZONINO (o!lk:euse)
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PlD ,3~\4J>t-j - all.-0
(Phone) $:J- ..y'.y 676, S' '5
6-JN
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Type or Fabre
I
Rough.ins
Water Heater
Water Softncr
Stand Pipe (Washing Machine)
Sewage Ejcct:or
Backflow Assembly
Backtlow Assembly Test
Lawn Sprinkler
Other
-,
Residential. New One &: Two-Family $99.S0
R_ldentlal, Additions '" AIlcrDtion5 S39.50
BuUdinS Permit #-
39 ~o
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Paid LfO,----
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Recei!l>13 Y
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24 hovr nClti~e for Illlaepeeo.a. (952) 441-9850, fax (952) 447-4Z45
16200 l'a1e Cr.." Ave., 8.E., Prior 1.tke, MN 55371--1714
CITY OF PRIOR LAKE
INSPECTION NOTIC, J
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SCHEDULED ~~-Il
DATE TIME
tAsft tI1 t1~
ADDRESS
v
OWNER
CONTR.
PHONE NO.
PERMIT 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
COMMENTS:
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c; prr~t/-V-
~
2-tjq7
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
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,-WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: r1J? / ~...- tr,- ~wner'contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!