HomeMy WebLinkAboutPlumbing Permit 07-0239
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
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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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L,\!~~ ~-C ~'\ \r-/7
rORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORR~. CALL FOR REINSPECTION BEFORE COVERING
Inspectqr: J)...--r Owner/Contr:
CA'i,.L J.,-~50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
INSNOTl
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(Please type or print and si~ at bottom)
ADDRESS
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I. Blue File PERMIT NO
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3 Yellow Applicant 7
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ZONING (office use)
LEGAL DESCRJ..t' nON (office use only)
LOT
BLOCK
ADDITION
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OWNER
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(Address)
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APPLICANTf '
(Name)
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(Address)
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(City)
(Zip Code)
(Contact Person)
(Phone)
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, <\PPLICANT SIGNATURE
DATE
Y-II-o'l
r
Quantity
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)
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
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 $ 100 · 00
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
,3q. '50
,50
v{o () V
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
paid4
0,00
Date A-
orI'd<> ,u?
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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