HomeMy WebLinkAboutPlg Permit 06-0820
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~ ~~;~ ~!~ I PERMIT NO, (It- " S{,'J./-f'
J Yellow Applicant ~
(Please type or print and sign at bottom)
ADDRESS
:?J) I sk((VA/!{f( J'IrCG -f .
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID ']1) 11;1. L /(. {
OWNER
(Name)
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(Phone) LJJ^ lrr ;2 (DJ"
(Address)
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APPLICANT I
(N ame) n Lot !J.4 P. bJ IL/ ( S )/11' '--
dtJ S - '1~f /fY~. ,J
(Address)
(Conteet Pmon) rift k OJ tV ,I ~/
A.PPLICANTSTGNATURE -dd/' // ~
(Address)
(Phone)
j-{ -.) ,'; Ie:.... V:>
(City)
1r~ 7Jl J-t> ] ~.
1 ))7lf]
(Zip Code)
(Phone) (r1.l-,1,)- I Lf r 7' '7
DATE._.f /r./:; >
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture I Quantity I Type of Fixture
Bath Tub with or without shower I I Rough-ins
Dishwasher I Water Heater
Floor Drain I Water Softner
Lavatory (Bathroom Sink) I I Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink I Sewage Ejector
I Shower Stall I Backflow Assembly
I Sinks I Backflow Assembly Test
Bar Sink J I Lawn Sprinkler
Water Closet (Toilet) , I Other
l
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 $
f2.f' -
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOT AL PERMIT FEE $
2) /1' ..<-;7,
. . )c
.50
l/cj .-------
(Office (Jse Only)
This Application Becomes Your Building Permit When Approved
Paid
[ //. .------
( L"
Date
~~l-~- /.
.I I' ~/
Receipt N.O..,.; (/
/7/ c<; .J
By
(,/ I
/;'~
Building Official
Date
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
SCHEDULED
DATE TIME
9~/fi~
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ADDRESS
333'/ '- \;1 ).,/7C; ~-
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
~~
CONTR.
PERMIT NO,
b -j?,zO
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~LUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~
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~RK-SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~~;,Y~~ YINSPECTION BEFORE COVERING
Inspector: ~,t/ Owner/Contr:
,.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI