HomeMy WebLinkAboutPlumbing Permit 11-0140 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 4 /7 7 Ce/t
ADDRESS l 9 LI 86
OWNER CONTR.
PHONE NO. PERMIT NO. 11
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD /FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL ❑ GASLIN AIR T
❑ SITE INSPECTION ❑ MECH FINAL j _v
COMMENTS:
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❑ WORK SATISFACTORY, PROCEED
/ 1'CORREC ON AND PROCEED
❑ CORRE a K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner /Contr:
CA 44'98 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
• QUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
5-1/ o �tt 1 qi i d r
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PRZ Date Rec'd
- 7,: - .4' CITY OF PRIOR LAKE PLUMBING PERMIT
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R'.MYEsoo I. Blue File
2. Gold City PERMIT NO
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
((Name)
V o1i ) � t itt, (Phone) IC 7 fr 1. K°
(Address) Ne s �" ' I Vi 1:// 7(;, -L ,/ .Q77&
APPLICANT � / 7 /'
(Name) 14 T/�/1C /^l+ 04 u'�iH�n' (Phone) <9 ii" 1/ Z- - S Z f -
(Address) /7'7 j / t/ iffe `_ 7' ld 4A/ t 53
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(Address) ale( (City) (Zip Code)
(Contact Person) r kVA. (Phone)
APPLICANT NATURE ....4 DATE GI efnl
A • LICANT PLEASE COMPLETE BELOW
Quantity 'ype 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
S Residential, Additions & Alterations $49.50
The Minnesota Statutes § 326B.148 Est $ 4 ✓ Building Permit #
"SURCHARGE" has been changed for one �/ fG
year effective PLUMBING PERMIT FEE $ 7 f
July 1, 2010, until June 30, 2011 STATE SURCHARGE $ .3' 40
The minimum surcharge fora "fixed fee" permit TOTAL PERMIT FEE $ ,57
is Is beginning July 1, 2010
This Application Becomes Your Building Permit When Approved Paid 5 4 ; 6 Receipt o. ( 2,/ fi,
Date • 7 — / / By
Building Official Date .
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.F,., Prior Lake, Minnesota 55372
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