HomeMy WebLinkAboutPlg Permit 06-0293
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(Please type or print and sign at bottom)
I Blue File I PERMIT NO!A~_ ~ q~
2 Gold City
3 Yellow Applicant
ADDRE1Sq \01- \-\ \clcbn V iet0 <cl
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ZONING (office use)
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LEGAL DESCRIPTION (office use only) .. I I
LOTf) BLOCK ~ ADDITION ~.I-rU1 P 0
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OWNER '"'1-'-" (\
(Name) \ I \()VY\o...~
(Address) SCutrI-e/
VltW
(Phone)
(Address)
H n. r:~:\VORK~
3570 DODD ROAD
EAGAN, MN 55123
(651) 365 1340
(Phone)
APPLICANT
(N ame)
(Address) (City) (Zip Code)
:ontactPer.;on) \(r\~ Q ~ V 9---. ~~ (Phone)
PPLlCANTSIGNATURv.=.-- ~ L..L::. DATE LfIJ3/0&J
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity I Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher l Water Heater
Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall I Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink 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 $99.50
Residential. Additions & Alterations $39.50
2 00
Estimated Cost $. m.
Building Permit #
PLUMBING PERMIT FEE $ 39. SO
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ 40. ()O
,mee Ose Only)
Building Omcial
Date
Paid II {J. --
. Date t( /;;)0- P
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This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
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~T - TIME
CITY OF PRIOR LAKE
INSPEcnON NOTICE SCHEDULED p.2~
/~/07 /~d,- tJ~-'-./ k!c!
ADDRESS
OWNER CONTR.
PHONE NO. PERMIT NO. <G - .2?~
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL - U r"..UMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS;.4' / /'.. / // /
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~SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR) C~; ~IN~PECTION BEFORE COVERING
Inspector: #~ ~ Owner/Contr:
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CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI