HomeMy WebLinkAboutPlumbing PErmit 11-0214 ATE TIME
CITY OF PRIOR LAKE G�
INSPECTION NOTICE SCHEDULED 5 / /1 1 a.
ADDRESS / 46 &<_,L)tg/7
OWNER CONTR. / PHONE NO. PERMIT NO. / 1 ` Z /
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD /FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION , MECH FINAL ❑
COMMENTS: 9 47z7-
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-
l&Sc..-`
/�..WWORK SATISFACTORY, PROCEED
/ ❑ CORRECT ACTION AND PROCEED
❑ CORRECT WO L FOR REINSPECTION BEFORE COVERING
Inspector: I` , 11111111 10.1111 11 4•- r:
CALL 447 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
pRlp Date Rec'd
,� °�, ` � CITY OF PRIOR LAKE PLUMBING PERMIT 5. /
4 'N1VEso 0
I. Gol Blue File
i. P ERMIT NO.
aola City / 4,4
3. Yellow Applicant •
(Please type or print and sign at bottom)
ADDRESS ZONING (aim
l `aoCtS (,3lwe.totrJ TtA N L
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) I LL. 5I (Phone) 310 -48C 4671
(Address) 1 40 13l -blyd Irk NV
APPICANT Appliance Installers of MN, Inc,
(Name) Rutgers St. NE (Phone)
(Address) kk r r
IPr or IOW AN 55372 (City) (Zip Code)
(Contact Person) Olt ci"a -kl e, (Phone)
APPLICANT SIGNATURE DATE 3- 3 ° - 2 c
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough -ins
Dishwasher Water Heater
Floor Drain I Water Softener
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (1 or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
_ Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) _ Other
FEE SCHEDULE
Industrial, Commercial & Multi - family 1% of job cost with a $49.50 minimum Residential, New One & Two - Family $I49.50
Residential, Additions & Alterations $49.50
The Minnesota Statutes § 32613.148 yst $ Building Permit It
"SURCHARGE" has been changed for one
year effective PLUMBING PERMIT FEE $
July 1, 2010, until June 30, 2011. STATE SURCHARGE $ it .50
The minimum surcharge fora "fixed fee" permit TOTAL PERMIT FEE $ 411* S'(. SO
is IS beginning July 1, 2010
This Application Becomes Your Building Permit When Approved Paid 5 , ¢ sv Receipt No. , 2 _ 1 9,7
Building Official Date Date S 11 By c
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372