HomeMy WebLinkAboutPlumbing Permit 11-0047 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED � (
ADDRESS ��s�I Pr�Or WOC� �
OWNER CONTR.
PHONE NO. PERMIT NO. �j - Qd ��
❑ FOOTING � PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION O MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
0 FINAL ❑ PLUMBING FINAL O GASLINE �41R TST
❑ SITE INSPECTION ❑ MECH FtNAL � d�k���er tft�
COMMENTS:
O � '�-�
�WORK SATISFACTORY, PROCEED
❑ CORRECT TION AND PROCEED
❑ CORRE RK, CALL FOR REINSPECTION BEFORE COVERING
lnspecto�: Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RBQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETY!
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LEGAL DESCRIPTION (office use only)
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APPLICANT
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(Address) � �J � �( � �U Y1 c� V [ � � � ( v � � ��� � � m � �S 3 z7
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APPLICANT SIGNATURE DATE ( /�.- d 1� �
APPLICANT PLEASE COMPLETE BELOW
uanti T e of Fixfiure uan�i e of FYxture
Bath Tub wi#h or without shower Rou h-ins
Dishwasher Water Heater
Floor Dra.in Water Softener
Lavato athroom Sink Stand Pi e ashin Machine
Laun Tra 1 or 2 com artment sink Sewa e E'ector
Shower Stall Backflow Assembi
Siaks Backflow AssembI Test
Bar Sink Lawn S rinkler
Water Closet Toilet Other
FEE SCHED[TLE
Industrial, Commercial & Multi-family i% of job cost with a$49.50 minunum Residendal, New One & Two-Family $149.50
Residentiat, Additions & Alterations $49.50
The Minnesota Statutes $ 32GB.�48 �� $ Bttilding Permit #
"SURCHARGE" has been ch�nged for one
year effective PLLTN.[BING PERMIT FEE $ �- �,,�
.�Ury �, 2oso until 3une 30 zo� i. STATE SURCHA.RGE $ S.�O �
i'he minimum surchar�e fpr a "tixed fee" permi; TOTAL PERIVIIT FEE $ s"�'���
is �, beginning July 1, 2070
This Application Becomes Your Building Permit When Approved Paid �� � Rece' o. �Z��b
Baildina Official Da� D&te / � � �� $
24 6our notice for all inepectioas (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372