HomeMy WebLinkAboutPlg Permit 06-0989
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
10.30,0"
(Please type or print and sign at bottom)
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3 Yellow Applicant lA# 70
ZONING (office use)
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LEGAL DESCRIPTION (office use only)
BLOCK
ADDITION
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APPLICANT P':;ASE OMPLETE BELOW
OWNER
(Name)
(Contact Person)
\PPLICANT SIGNATURE
Quantity
Type of Fixture
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)
PID zS: (+.3.009.0
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(Phone) qSdJ ~440- ,afF7l
(Phone) aC;U\~41L; ~ 1~O
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(City) (Zip Code)
(Phone)
DATE
to-a:; 'DI.j/
Quantity Type of Fixture
Rough-ins
Water Heater
Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial. Commercial & Multi-family I % of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
(Office Use Only)
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOT AL PERMIT FEE $
.50
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Paid 1-0,0 0
Date
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This Application Becomes Your Building Permit When Approved
Building Official
Date
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
ADDRESS
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OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE T1M~-
SCHEDULED
1/ -)-x:z
/~hLwtd
i/
CONTR.
PERMIT NO.
G-101
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
f1I-d &C/!-V
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PR EED
REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
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