HomeMy WebLinkAboutPlumbing Permit 11-0445 DATE TIME
CITY PRIOR LAKE
INSPECTION TION NOTICE SCHEDULED 414U—
ADDRESS ,'-! 32 �cR.∎ /— I a}� SIQTJ
OWNER CONTR.
PHONE NO. PERMIT NO. cti
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD /FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL ❑,/ GASLI E AI}� TST
13 SITE INSPECTION ❑ MECH FINAL j41 G )(,ti , /—
COMMENTS:
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A WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORREC K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner /Contr:
CALL 447 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
•
• 4 PRIp Date Rec'd
� CITY OF PRIOR LAKE PLUMBING PERMIT
Ii'NESO `c �
I. Blue Fite
z. cola city PERMIT NO. / / .14
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
5432 Fier Ia.wr Sit) /16 1
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID -
OWNER , ( 65S7A
( ) ei5,7 k 7
(Name) J ( �, ',1 � . `. Phone (Address) &The, (O( LL f�i r NI '
APPLICANT Champion Plumbing
(Name) # 61770 -PM (Phone)
651-365-1340
(Address) 3670 Dodd Rd
(AgAglui., MN 55123 (City) (Zip Code)
(Contact Person) kri .S (Phone)
APPLICANT SIGNATURE DATE
�" 25_1
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 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 1st $ Building Permit #
"SURCHARGE" has been changed for one
year effective PLUMBING PERMIT FEE $
July 1, 2010, until June 30, 2011. STATE SURCHARGE $ . .59'
The minimum surcharge fora "fixed tee" permit TOTAL PERMIT FEE $ 5 534 -
is 15, beginning July 1, 2010
This Application Becomes Your Building Permit When Approved Paid 6 - 4 _ . 53 Rec .t 2...12...16, Z
No.(o / �
Date L i/ • f
Building Official Date
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 Or .
4646 Dakota Street S.E., Prior Lake, Minnesota 55372 i().2.93
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