HomeMy WebLinkAboutPlumbing Permit 11-0071 OATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED o�
ADDRESS ��53 r,� �'o� � �,.
OWNER CONTR.
PHONE N0. PERMIT NO. II —
O FOOTfNG ❑ PLUMB{NG RI ❑ EXIGRADIFILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
0 INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL ❑ GAS NE AI T T
d SITE INSPEC7fON ❑ MECH FINAL �`� r
COMMENTS:
�IWORK SATISFACTORY, PROCEED
'�❑ CORREC ACTION AND PROCEED
❑ CORR C RK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto : OwnedContr:
CAt 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH �c SAFETY!
wsNOr,
� � pRip Date Rec'd
� �� CITY OF PRIOR LAKE PLUMBING PERMIT
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I NNESO� S
1 Blue F�le pERMIT NO . � y /� /�
2 Gold City
3. Yellow Appl�cant �� V
lease or ' t and si n at bottom
ADDRESS � � � � �� ZONING �ot��,��
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LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER 1 �
(Name) 1 , (Phone)
(Address) c�����l.i �� l.J'(
APPLICANT
(Name) # 61770-PM (phone)
(Address) 3670 Dodd Rd.
(Address) ' (City) (Zip Code)
�
(Contact Person) ���, � . (Phone)
APPLICANT SIGNATURE DATE I� tJl `�`
APPLICANT PLEASE COMPLETE BELOW
Quanti T e of Fizture Quanti T e of Fizture
Bath Tub with or without shower
Dishwasher Water Heater
Floor Drain Water So ener
Lavato Bathroom Sink Stand Pi e ashin Machine
Laund 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
FEE SCHEDULE
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
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;ost $ Building Permit #
The Minnesota Statutes § 326B.148
"SURCHARGE" has been changed for one pLUMBING PERMIT FEE $
year effective STATE SURCHARGE $ .50
July 1, 2010, until June 30, 2011. 0
The minimum surcharge for a "Tixed fce" permit TOTAL PERMIT FEE $
is �5, beginning July 1, 2010
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Buildine Ofticial Date
24 hour notice for all inspections (952) 447-9850, fag (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372 � t (� ��
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