HomeMy WebLinkAboutPlg Permit 02-1514
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
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APPLICANT SIGNATURE ~//?-2J DATE // //..?./.? .J
APP.b.NT 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)
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ADDRESS / r h.
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LEGAL DESCRIPTION (office use only)
I ADDITION 4f~ 5 yei
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LOT / BLOCK
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OWNER
(Name)
(Address)
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APPLICANT
(Name)
(Address)
1 Quantity
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1. Blue File PERMIT NO 41
2. Gold City . . A..., _ /' t-;
3. Yellow Applicant L/ (71. ..J
ZONING (office use)
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PID,;25 - ;;uJ3-dJ I . - 0
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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 $
Building Permit #
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ ?'f. rt:.J
$
$
.50
0/4 e!::-
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
1 '2./lWeo- l' I4u-1
ADDRESS -1/1,t;~ 11.::~/t-euJ ('~.,
OWNER CONTR.
PHONE NO.
PERMIT NO.
D:2-~ /5i t{
.
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 EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
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COMMENTS:
. ,
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
lNSNOTl