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HomeMy WebLinkAboutPlumbing Permit 11-0245 DATE TIME CITY OF PRIOR LAKE y INSPECTION NOTICE SCHEDULED / / 7/( ADDRESS 1, 1485 20Kr iyp OWNER CONTR. PHONE NO. PERMIT NO. i - 2 c/5 ❑ 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: ki C ©5 e ieLt rs" WORK SATISFACTORY, PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORRECT WO K, CALL FOR REINSPECTION BEFORE COVERING Inspector: Owner /Contr: CALL 447 -9850 OR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI 1 - ,1";R/c 4' Date Rec'd e \ CITY OF PRIOR LAKE PLUMBING PERMIT , /3 1/ F x v jNNEsdo" t I. Blue File PERMIT NO.// Z4 2 cola city 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) l 16 w vise. It 5W LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID ((Name) e6 VL.i1n k v� v eA- (Phone) ( K 7 ��� V (Address) 110 53C—) 5(,&n n srt A(;_ 3 VV APPLICANT (Name) Appliance Connections Inc: (Phone) (Address) 1313 L: d' a :i• (Adgati4k0 pee, i'v.N N 66Z (City) (Zip Code) Ci Zi Code (Contact Person) 52®` -48 (Phone) {{,, t J ' f) APPLICANT SIGNATURE `f1 ;1�" _� � ` /.� DAT I ) APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough -ins Dishwasher 1 Water Heater Floor Drain 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 $149.50 Residential, Additions & Alterations $49.50 :ost $ Building Permit # The Minnesota Statutes § 3268.148 "SURCHARGE" has been changed for one PLUMBING PERMIT FEE $ year effective STATE SURCHARGE $ .50 July 1, 20 June 2011. T OTAL PERMIT FEE $ G The minimum surcharge arge rge "fixed xe for a "fixed fee" permit , ism, beginning July 1, 2010 This Application Becomes Your Building Permit When Approved Paid 5 -- 4 _. 5D Recei o.G 2 533 Date I3 1 I By Building Official Date 4 i , 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372