HomeMy WebLinkAboutPlg Permit 06-0495
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 10-06
, File
j City
ow Applicant
PERMIT NO. (~~)t~,- Iff 5--
(Please type or print and sign at bottom)
ADDRESS
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OWNER
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(Address) (City) (Zip Code)
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A PPLICANT SIGNATURE
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APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity I Type of Fixture
Bath Tub ,,,'ith or without shower I Rough-ins
I Dishwasher ~... I Water Heater
I Floor Drain ----- I Water Softner
I Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink I Sewage Ejector
Shower Stall I Backflow Assembly
Sinks I Backflow Assembly Test
Bar Sink I Lawn Sprinkler
Water Closet (Toilet) I Other
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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 $3,),50
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Estimated Cost $ (, . II __ ;
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
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.50
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(Office lJse Only)
This Application Becomes Your Building Permit When Approved
Building Official
Datc
Paid t.; () -
Date / _ /
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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
SCHEDULED
/ 1- ,7-L~
ADDRESS
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CONTR.
OWNER
PHONE NO.
PERMIT NO.
G Lj t( r
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 EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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~ WORK SATISFACTORY, PROCEED
o CORRECT ACTffrON AND ROCEED
o CORRECT WOR. FOR REINSPECTION BEFORE COVERING
Inspector: ;I}. Owner/Contr:
CAI-'_ ~~7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI