HomeMy WebLinkAboutPlg Permit 06-0265
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 10-06
~~~ ~:~y I PERMIT NO.O~) ~ /1 ~o {;-
Yellow Applicant c:x -r
(Please type or print and sign at bottom)
ADDRESS
flU; 36
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ZONING (office use)
LEGAL DESCRIPTION (office use only)
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LOT/ '7 BLOCK I ADDITION
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(Address)
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(Phone)
OWNER
(Name)
APPLICANT (\ - 'Ill n I /1 n
(Name) Uf.\1:.-- ~v)c-.d, I
(Address) 2200 \N. H"~J ~\
. (Address) ~
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(Contact Person) 1') Ity)
APPLICANT SIGNATURE l ~'l/l})
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. (Phone) CrCJ2- f{f1 -
13 nLHlt1c,V I{ Ie.. M N
(City)
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1000
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(Zip Code)
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APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater (r/o If.Afr,)
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 Lawn Sprinkler
I 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 $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOT AL PERMIT FEE $
-3(';. 60
.50
t:-/ /. /
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid t.( Uc--
Date . /
Y - 1'3- v.,
Receipt NoS C6'g 6
By
Q
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24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS '- (QJo ,/ O~cJ:-O.11 tz !c{,><,
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
CONTR.
PERMIT NO.
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
iJ )..6 /-tt' c-( I-v
OATE TIME
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G )0C:-
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
-'
7 WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~. ~A'J1OR REINSPECTION BEFORE COVERING
Inspector: 11/ r / Owner/Contr:
. I .
~ALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE"-
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI