HomeMy WebLinkAboutPlumbing Permit 11-0093 DATE TIME
CIT�I OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 2 2 I
ADDRESS �J5"1� �¢,^�.d�OGtj 1��A,a.� l'�
OWNER CONTR.
PHONE NO. PERMIT NO. � l OQ�
❑ FOOTING O PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION � MECH RI ❑ COMPLAINT
❑ FRAMING � WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL 0 A LI i E AIR
❑ SITE INSPECTION ❑ MECH FINAL � -
COMMENTS:
� ❑ WORK SATISFACTORY, PROCEEO
❑ CORRECT N AND PROCEED
O CORRE WO CALL FOR REINSPECTION BEFORE COVERING
Inspector: OwnedContr:
CALL -98 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETY!
uvsnon
� pRip Date Rec'd
� �� CITY OF PRIOR LAKE PLUMBING PERMIT �, i` �`
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I. Blue File pERMIT NO .
2. Gold C�ty
3 Yellow Applwant l
lease or ' t and si at bottom
ADDRESS ZONING (ot� use)
r— � • � � �
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
o�R -� . _ � ,R�- ��o � �l �o�
(Name) hone
(Address) ( � r ( 5 53� a
(Name) � ���P�on Plumbing (Phone)
9 -
� (Address) 651-365-1340
� (Ciry) (Zip Code)
gan, N 55123
(Contact Person) (Phone)
APPLICANT SIGNATURE DATE �� � I
APPLICANT PLEASE COMPLETE BELOW
uanti T e of Fixture Quanti T e of Figture
Bath Tub with or without shower Rou h-ins
Dishwasher Water Heater
Floor Drain Water Softener
Lavato Bathroom Sink Stand Pi e ashin 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
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
ost $ Building Permit #
The Minnesota Statutes § 326B.148
"SURCHARGE" has been changed for one pLtJMBING PERMIT FEE $
year effective STATE SURCHARGE $ �1 _ C1 �50
July l, 2010, until June 30, 2011. --�-�
The minimum surchxrge for a "fixed fee" permit TOTAL PERMIT FEE $_� - 5CZ
is �, beginning July 1, 2010
This Application Becomes Your Building Permit When Approved Paid ��` � Rece' No. /_ Z O/ s'
cJ 10 t�
Buildina Ofticial Date Dat� /�/ B
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 1��
4646 Dakota Street S.E., Prior Lake, Minnesota 55372 L