HomeMy WebLinkAboutPlg Permit 06-0621
CITY OF PRIOR LAKE PLUMBING PERMIT
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 10-06
Date Rec' d
7. II, ()(p
(Please type or print and siltll at bottom)
ADDRESS
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I. Blue File PERMIT NO ~
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ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
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OVfNE~ .
(Name) ( 'o..-ey Cl].'1\.O,0..-h
(Address) ~ As At:x:Jl;e
(G;d@) I '\ c:::t I _'~V I
(Phone) "--1 ~ I - LOc::f-' G.
APPLICANT
(Name)
('III I I~AH WATER CONDITIONING (Phone)
- - 6030 CULLIGAN WAY
MINNErONl<A. Mf'I &;"::\4"
(Address) (952) 933-7200 (City)
(Zip Code)
(Address)
(Contact Person) (Phone)
"PPLlCANTSIGNATUR(l...,,~rl..O~(Y} \---\r-~ DATE Lid CY~3J('l.._o
APPLICANT PLEASE COMPLE"&LOW
Quantity Type of Fixture
Bath Tub with or without shower
Dishwasher
I Floor Drain
I Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
I Shower Stall
I Sinks
I Bar Sink
I Water Closet (Toilet)
Quantity Type of Fixture
Rough-ins
I Water Heater
I Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
I Backflow Assembly
I 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
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Estimated Cost $ <....--x....>LJ.
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
3Cl~
.50
L.('"'). CSl)
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid 4-0 , () 0
Date 7.' Z-J)1I
Receipt No. 51 QS3
BYiJ/LL.
1/
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
(0. J o. 0&
ADDRESS
f4-;? { 0
W~EDVE:
OWNER
CONTR.
PHONE NO.
PERMIT NO.
4'(P~/
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 EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~GASLlNE AIR TST
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COMMENTS:
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-~
o WORK 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!
INSNOTl