HomeMy WebLinkAboutPlg Permit 02-0930
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
1. Blue File
2, Gold City
3, Yellow Applicant
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I PERMIT NO. ()~,.. q B ~
ZONING (office use)
R/5D
(Please type or print and sign at bv.....~)
ADDRESS
3877
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LEGAL DESCRtt" HON (office use only). , ~ .
LOT(PBLOCK ( ADDITION ~~(j)~M-:d PID;)5-37I-o(J'-o
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(Address)
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c 1 i1 115'0 1-? u Pf;( , l--f.? , 6/").. t:j91 9~/9
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(Address) (... --
(C J] ~ H"?- IA <; P?-1 ""2- 77/ '9 Y 19
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APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture I 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
Sinks Backflow Assembly Test
Bar Sink X Lawn Sprinkler
Water Closet (Toilet) Other
FEE Sl,;.nJ!,DULE
Industrial, Commercia) & 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 $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
sq s-O
.50
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(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid, I ___
""1. () ,
Date 7- 3ty d--
Rec~J.~ f:3
BY~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
DATE TIME
CITY OF pR.lOR LAKE
INSPECTION NOTICE
~ # 3-3
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SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~-93()
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI 0 EXIGRADlFILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLINE AIR TST
o MECHFINALg~~
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COMMENTS:
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~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl