HomeMy WebLinkAboutPlg Permit 02-0548
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
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~::~ ~I~ I PERMIT NO. 02-0 &;~41
3. Yellow Applicant ~() ,
(SB7CJ) I
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
(Phone[ CJ5J-) ;;:;;x, - 3l.Pf211
I OWNER .'
(Name)
(Address) ~1
APPLICANT CULLIGAN WATER CONDITI
(Name) 6030 CUl-L1GAN WAY
MINNETONKA. MN 55345
(952) 933.7~OO
(ACldress)
(Phone)
(Address)
(City) (Zip Code)
(Contact Person)
(Phone)
APPLICANT SIGNATURE
DATE
2.
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 I Water Softner
Lavatory (Bathroom Sink) , Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backtlow 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
Estimated Cost $ ~OO.. () 0 Building Permit # ()2. - 6549
PLUMBING PERMIT FEE $ ,-~9.. SO
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ ~O_ 00
(Office Use Only)
This APPIi~ Your Bulidiug p~m:~ ~~nOA;:Ved
Building Official Date
pa~_oo
Date....
b -/ {, --02-
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
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DATE TIME
/5
CITY OF PRIOR LAKE
INSPECTION NOnCE
...
SCHEDULED
ADDRESS
/tI'icY/
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING (@
o INSULATION ~
FINAL
~ SITE INSPEC 0
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: ,-!:i?r) ~f(j-
(~ ~.L
.(iWORK SATISFACTORY, PROCEED
(d CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto" ~ ' Own."Contr
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSliOTI