HomeMy WebLinkAboutPlg Permit 05-1243
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 10-06
(Please type or print and sil!;Il at bottc
ADDRESS
Sa, c;j k::. 00. k. PT D~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER <> I , C"
(Name) ,-..n r- , ;;:)
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(Address) ~ mZ
APPLICANT CULLIGAN WATER CONDITIONING
(Name) 6030 r.. 'lllG.4.N WAY
MtNNETONKA, MN 55345
(Address) {PC:") ~ '"7"'00
(Address) -- . l..
(Contact Person) ~ ('1' ~
APPLICANT SIGNATURE .i:J , ~ \.:0/\ Q tl..N\.J:1. q ^
Quantity
FEE SCHEDULE
Industrial. Commercial & Multi-family 1% of job cost with a $39.50 minimum
Estimated Cost $ AA0" <"'C
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I. Blue File I PERMIT NO I
2. Gold City '05,/243
] Yellow Applicant
ZONING (office use)
c; S 7..,7 ~
PID 2. r. 40 I. 04- Z . 0
(Phone) ~ S:J- 44 7- 3 L/ 0 }
(Phone)
(City) (Zip Code)
(PhOne)~SJ - q I;:J.- 7 3, a
DATE \D . Ad. -0 S
~
Type of Fixture
,
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
Residential, New One & Two-Family $99.50
Residential. Additions & Alterations $39.50
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
~1q. ~
.50
Ll(). 6C)
Paid A-
~-tl -
Date
/2. -z tJ.t/J
Receipt. No. '(,J t2 "L
) .5 &/.,.. /
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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
DATE TIME
/ /- .2)~a
,J37S- Ec.sf- 041t_ CJr
SCHEDULED
ADDRESS
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
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
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/WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~Krf#FOR REINSPECTION BEFORE COVERING
Inspector: 11 V r Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSHOTl