HomeMy WebLinkAboutPlumbing Permit 10-1133 DATE TIIiE
CITY OF PRIOR LAKE �
INSPECTION NOTICE SCHEDULED
ADDRESS ���
OWNER CONTR.
PHONE NO. PERMIT NO. I D — (, � 3�
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRADIFILLING
❑ FOUNDATION O MECH RI ❑ COMPLAINT
❑ FRAMING O WATER HOOKUP ❑ FIREPLACE RI
� INSULATION ❑ SEWER HOOKUP � FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL �GASLI E AIR TST
❑ SITE INSPECTION ❑ MECH FINAL
COMMENTS: �'' L'-�
� �
�WORK SATISFACTORY, PROCEED
❑ CORRECT AC ON AND PROCEED
❑ CORRE K, CALL FOR REINSPECTION BEFORE COVERING
I nspector: OwnedContr:
CAL 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
uvsnor,
� PRip Date Rec'd
F �� CITY OF PRIOR LAKE PLUMBING PERMIT
� x
� �
�
J�'NES�� 1 Blue Fde PERMIT NO . / d ,!/�
2. Gold City
3 Yellow Applwant �
lease or ' t and si n at bottom
ADDRESS �•f � �Q ZONING (ott'ice use)
�� � c�S P1<�,.� ��„J S5 3 7
LEGAL DESCRII'TION (office use only)
LOT BLOCK ADDITION PID
OWNER \
�� Ga( y ��o� s O"1 (Phone) b� a� � � g- � 4 yS
(Address) �� �cdS k�l N W
APPLICANT
�� A R CONDITIONING (Phone)
(Address) 6030 CULLIGAI�t WAY
MI��r��I�A, 9VI9V 55345 (City) (Zip Code)
(952} 933-7200
(Contact Person) (Phone)
APPLICANT SIGNATURE DATE � �' a�I ' � U
APPLICANT PLEASE COMPLETE BELOW
Quanti T e of Fia�ture uanti T e of Fizture
Bath Tub with or without shower Rou h-ins
Dishwasher Water Heater
Floor Drain l Water Softener
Lavato Bathroom Sink Stand Pi e Washin Machine
Laun Tra 1 or 2 com artment sink Sewa e E'ector
Shower Stall Backflow Assembl
Sinks Backflow Assembl Test
Bar Sink Lawn S rinkler
Water Closet Toilet Other
FEESCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a$49.50 minimum Residential, New One & Two-Family $149.50
Residential, Additions & Alterations $49.50
The Minnesota Statutes & 326B.148 t$ ��v •� Building Permit #
"SURCHARGE" has been changed for one
year effective PLUMBING PERMIT FEE $ �9 •.5 �
July t, 2010, untii June 30, 201 t. STATE SURCHARGE $ .5• u .,5�
The minimum surcharge for a"fixed fee" permit TOTAL PERMIT FEE $ 5 5
is �5, beginning July 1, 2010 �
This Application Becomes Your Building Permit When Approved Paid ��� Receip o. � ��� p
Date � Z � � � � By
Buildine Official Date
24 hour notice for all inspections (952) 447-9850, faz (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372