HomeMy WebLinkAboutPlg Permit 06-0567
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I. Blue File
2 Gold City
:; Yellow Applicant
PERMIT NO. 0/.- (''''.---( "7
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ADDRESS
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ZONING (otTice use)
LEGAL DESCRIPTION (office use only)
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BLOCK
ADDITION
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OWNER
(Name)
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APPLICANT SIGNATURE -~31/ Ii/Lilt! j/i/J 11/'//~ DATE U l 'II ((1 f
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APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity I Type of Fixture
Bath Tub with or without shower I Rough-ins
Dishwasher I 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) I Other
Quantity
FEE SCHEDULE
J ndustriaL 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 $ ~:r?l (.: t)U Building Permit #
PLUMBING PERMIT FEE $ 2{f I ,rJ[j
STATE SURCHARGE $ .or, ,.50
TOTAL PERMIT FEE $ /-j I / (... (J
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid A---/
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Date G,. 2 7 () (.;
Receipt No.
Il
B?-
J
"'-7 c" 07
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24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Ea~le Creek Ave., S.E., Prior Lake, MN 55372-1714
DATE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED I~bt<
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OWNER CONTR.
PHONE NO. PERMIT NO. G - 5ror")
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 o PLUMBING FINAL o GASLlNE AIR lrr
o SITE INSPECTION o MECH FINAL )l( LAw..... 91"': ~'"
COMMENTS:
uC)~~\,,~
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC;r~~K' CALL FOR REINSPECTION BEFORE COVERING
Inspector: I IY Owner/Contr:
CALL ~850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI