HomeMy WebLinkAboutPlg Permit 03-1053
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
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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 R FINAL
Bar Sink REQUEST FO 0
Water Clost INSPECTION SENT T
EOWNER 01-05
ROM Jf};E SCHEDULE
Industrial, Commercial & Multi-family I % of job cost with a $39.50 minimum
REQUEST FOR INSPECTION
SENT TO HOMEOWNER.
FEB. 2004
(Please type or print and sign at bv ........)
ADDRESS
3\\ lo W lld\-'f)~ r 11' rJw.
LEGAL DESCRIPTION (office use only)
LOT WBLOCK .5 ADDITION
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OWNER \. .
(Name) ~""eJLL'L (\\)~
(Address) ?J\, to \ 1 ')\\Ci \\00 II r l1\ l\\t.l)
Quantity
Estimated Cost $
. Blue File
. Gold City
Yellow Applicant
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PERMITNO./J~_ II?SB
IV
ZONING (office use)
72/
PID0253~2-} 3/0"'0
(Phone) C4~d-d@la:=DEf1l ~
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(City)
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(Zip Code)
(Phone)
DATE~5J-D~
Type of Fixture
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
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,.50
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"his Application Becomes Your Building Permit When Approved Paid L( t:J ___
Date Date .0_/ t"':--1_ ~
Building Official ?\ ~ j '"J
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24 hour notice for all inspections (952) 447-9850, fax (~2) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
Re~5~OS-
BY~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~/~(o
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TillE
SCHEDUUED ~~~~
U'{f2 /-(0/,-. D
CONTR.
PERMIT NO.
-3- 165?
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
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~ORK SATISFACTORY. PROCEED
o CORRECT ACT N AND PROCEED
o CORR T W <. CAll FOR REINSPECTION BEFORE COVERING
\ Owner/Contr:
'1, 9850~ NEXT INSPECTION 24 HOURS IN ADVANCE.
v
ENTS A.RE FOR YOUR PERSONAL HEALTH & SAFETY!
INS/iOTl