HomeMy WebLinkAboutPlumbingPermit 11-0138 DATE TIAAE
CiTY OF PRIOR LAKE
INSPECTfON NOTICE SCHEDULED r{
ADDRESS � `
OWNER CONTR.
PFIONE NO. PERMIT NO. �� r"' V���
O FOOTING O PLUMBING Ri ❑ EX/GRAD/FILLING
❑ FOUNDATION � MECH RI O COMPLAINT
O FRAMING ❑ WA7ER HOOKUP ❑ FIREPLACE RI
❑ iNSULATION ❑ SEWER HOOKUP O FIREPLACE FiNAL
� FINAL ❑ PLUMBiNG F1NAL ❑ GAS E A1 ST
� SITE INSPECTION ❑ MECH FINA� �'
COMMENTS:
�
� WORK SATISFACTORY, PROCEED
CORRECT CTION AhD PROCEED
❑ CORRE RK, CALL FOR REINSPECTIpN BEFORE COYERING
Inspector: Owner/Contr.
CALL 850 FOR THE NEXT INSPECTiON 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH dc SAFETY!
u�ron
� PRlp Date Rec'd
° �� CITY OF PRIOR LAKE PLUMBING PERMIT
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&S�� I. Hlue Pile
i. aoia cny PERMIT NO.
3. Yellmv Applicam
esae ar' and at bottom
ADDRESS ZONING cot�ce ��
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LEGAL DESCRIPTION {o�oe u�e only)
LC?T BLOCK ADDITION PID
OW1�ER� .�.
{Nazne) J� � w �c'�� (Phone) ���}���l� (��
{Address} '� � C� c,� l�' °( - `r � t tY� t-�
APPLIC /y
(Name) (Phone) � ��' '��� �� n J
(Address) % O)�.P � /�7 (SY��g��F' '7
(Addxess) (City) (Zip Code)
(Contact Person) � Sc�i�'i {Fhone) �/'�- �y v � �J /
APPLICANT SIGNATUR� -� DATE li
APPLICA,I�1T PLEASE COMPLETE BELOW
Quand T e of Fixture aanti e of F[ature
Bath Tub with or without shower Rou h-ins
Dishwasher Water Heaber (i1
Floor Dra,'v� Water Softener
Lavato Batbroam 8ink Sta�td Pi ash� Machine
Laund Tra 1 or 2 com artment sink Sewa e E'ector
Shower Stall Backflow Assembl
Sinlcs Backflow Assembl Test
B� �� Lawn S rinkler
Water Closet Toilet Other
FEE SCHEDULE
Industrial, Commercial8c Multi-family 1% of job cosi with a$49.50 minitnum Residendal, New One &'I�vo-Family $149.50
Re,sidentiat, Additions & AiteraCions $49.50
Thc Minnesflta Statates � 326I3.]4R ��� $ Building Permit #
"SU[tC;.HAkcrE" l�as been changed for one pLUMBING PERMIT FEE $ ���
ycar effective
duiy i. 2A10 untii .7une 30 20! �. STATE SURCHARGE $ � .50
The minimum surchar�e for x "tExed Fee" permit TOTAL PERPVIIT FEE $ `;7 �V
is �i, beginaiag July t. 2U10
This Appl9cation Becomes Yoar Building Permit When Approved Paid �� �71 R �p o. ��� 1
� CJ
Haitdln� OfRcW Date Date� � / /
! (
1r4 hour eoHce for all inspections (952) 447-985Q, fez (952) 417-d24S
4646 Dakota Street 3.E., Prior Lake, Mlnnesotq 55372
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