HomeMy WebLinkAboutPlumbing Permit 07-0118
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
.5 \,l, 01
(Please type or print and sign at bottom)
ADDRESS
1(0543 Nor--+hWOCX::J k?d (\)W ':-::J:J::/)'Ql
; g~~~ ~i~ PERMIT NO. 07. 0 I (()7 I
3 Yellow Applicant ~ T..;
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER A . .
(Name)~ q .~~ICt4--f->c:::.
(Address~~.::S() U) 00 I \., C-) 1 I- d,' no.
(C I~) 'X~-:J ,n'lQ
(Phone) --L.> t J- . f.:::>l0-
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APPLICANT
(N ame)
CULLIGAN WATER CONDITIONING
~030 CULLIGAN WilY
MINNETONKA, MN 55345
{aS~) N2 ;~l)O
(Address J
(Phone)
(Address)
(City)
(Zip Code)
(Contact Person) (Phone)
APPLICANTSIGNATU~...l~(Y\~)~ DATE C51/J{o/CJ0
APPLICANT~~~ASE COMPLE.@ELOW
Quantity Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
I Shower Stall
Sinks
Bar Sink
I Water Closet (Toilet)
Quantity Type of Fixture
Rough-ins
Water Heater
I Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
I Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
I Other
FEE SCHEDULE
Industrial. Commercial & Multi-family] % of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential. Additions & Alteralions $39.50
Estimated Cost $ ~ ~
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
-.~9 F;/J
. .50
Lf). r.o
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid 4{). {IV
Date? "7
Building Official Date U" I L i-
f
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
1".1
Reppt NOS] Z-o 3
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U
4646 Dakota Street S.E.
Prior Lake, MN 55372-1714
Friday, July 11,2008
FILE CLOSED DUE
TO INACTIVITY
Sent Lett6r
. JULY 10, 2008
Homeowner
16543 NORTHWOOD RD NW
Prior Lake, Minnesota 55372
Dear Homeowner,
Our records indicate that an application has been made for a permit covering work as
indicated below:
Water softener
Building Permit # 07-0118
The City Building Inspector needs to perform an inspection in order to close this file.
Please call our office at 952.447.9850 between the hours of8:00 a.m. - 4:30 p.m. by
August 1, 2008 to schedule an inspection. Thank you.
www.cityofpriorlake.com
Phone 952.447.9800 / Fax 952.447.4245