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HomeMy WebLinkAboutPlumbing Permit 11-284 TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 4spi_ ADDRESS ` 55(0 51 Ill 3- cii .,_L L OWNER CONTR. PHONE NO. PERMIT NO. ' - 209' i ❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD /FILLING ❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT ❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI ❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL ❑ FINAL ❑ PLUMBING FINAL Q(G4.IQiASLj�JE AIr T r ❑ SITE INSPECTION ❑ MECH FINAL /��{ 1• COMMENTS: Jei I C-(c)e> /WORK SATISFACTORY, PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORREC CALL FOR REINSPECTION BEFORE COVERING Inspector: Owner /Contr: CALL 44 - FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI C P Ri Date Rec'd ° r CITY OF PRIOR LAKE PLUMBING PERMIT v tri ���'NESO� I. Blue File PERMIT NO. // 2..,g4._ 2. Gold City 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) 1 S Co S(o nkc,he\ C LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID (Name) OWNER �l ` , S) N I ei Se.A . (Phone) I ° R - q_a(a (Address) S ctim Prio( Lct- N S C J . 7a_ APPLICANT Champion Plumbing (Name) # 61770 -PM (Phone) 651 - 365 -1340 (Address) 3670 Dodd Rd. (Address) Eagan, Eagan, MN 55123 (City) (Zip Code) (Contact Person) (r is t J • (Phone) APPLICANT SIGNATURE DATE _c) APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower - Dishwasher I ater Heat 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 The Minnesota Statutes § 326B.148 Est $ ©O OV Bu Permit # "SURCHARGE" has been changed for one year effective PLUMBING PERMIT FEE $ July 1, 2010, until June 30, 2011. STATE SURCHARGE $ .50 The minimum surcharge for a "fixed fee" permit TOTAL PERMIT FEE $ 5)14,50 is $5, beginning July 1, 2010 This Application Becomes Your Building Permit When Approved Paid 5¢ -,st Re/ No. 6 2578 13 o Buildint Official Date Date ✓ 0 � ., 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 I bS 4-AD