HomeMy WebLinkAboutPlumbing Permit 04-0298
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
4. Z()~()4--
I. Blue File I PERMIT NO
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J. Yellow Applicant . ~7 V
ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
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I OWNER
(Name)
(Address)
(Phone)
APPLICANk- ..
(Name) . fI?fZ.'~~'~ rt..6<R- J..../+,,-<:p-
(Address) ~ f/-o N' ~;&-'e..
(Address)
(Phone) ~ f"/ 71r"'?!F'r
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(City) (Zip Code)
(Phone) ~ ;'1 7 )J"-- ?"rr r
DATE
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough- ins
Dishwasher Water Heater
Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backtlow Assembly
Sinks Backtlow Assembly Test
Bar Sink &:,NL Lawn Sprinkler
Water Closet (Toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1 % of job cost with a $39.50 minimum
Residential, New One & Two-Family
Residential, Additions & Alterations
Building Permit # ~ ~ ., ~ z.. 'I!'
31,!;,CJ
$99.50
$39.50
Estimated Cost $
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
4'f), 00
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
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Receipt NO'16~ ~ /
By
Building Official
Date
Dat~. /-{I_ tJ f!-
24 bour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
DATE nilE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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ADDRESS
OWNER
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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 EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
COMMENTS:
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o -WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CAL"- FOR REINSPECTION BEFORE COVERING
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Inspector: !/./ J Owner/Contr:
f
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl