Loading...
HomeMy WebLinkAboutPlumbing Permit 11-0802 E TIME LISP PRIOR LAKE 1/ ( „ �` INSPECTION NOTICE SCHEDULE T ADDRESS .41/1 ! ,, , N K-- OWNER CONTR. � PHONE N / O. PERMIT NO. ` g© ❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING ❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT ❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI ❑ INSULATION ❑ EWER HOOKUP ❑ FIREPLACE FINAL ❑ FINAL PLUMBING FINAL ❑ GASUNE AIR TST ❑ SITE INSPECTION ❑ MECH FINAL ❑ COMMENTS: / • dl247S5 C N4 ---Tr Wi , p4.(41B /A-J 1.-4-taz- "etivc. / 7_ 56-- X WORK SATISFACTORY, PROCEED ❑ CORRECT ACTIO • PR - EED ❑ CORRECT WO/ (. , R REINSPECTION BEFORE COVERING A i -- Inspector: - e mg Owner /Contr: CALL 447 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOfl PR1p Date Rec'd , � CITY OF PRIOR LAKE PLUMBING PERMIT 8 , i 414 / iNNESD 1 Blue File 2 Gold City V PERMIT NO . 1 1 S 0 4_ 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS /fr ONING (office use) o 6r� 1� Cr C��- lib -....-- LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) (N ame ) N f P ) C 2 r 74 ^ (Name) J^e T n (.CW►, fYt )Q�S hone (Address) l V - 6 C ,PD 6 (O Bkv,v' 5 '� (Address) (City) (Zip Code) (Contact Person) 4/' / t Ga A SAE) ✓ ∎ (Phone) L/ 2 75/0 '-SSyc APPLICANT SIGNATURE / Al s. 4111 DATE 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 =ost $ Building Permit # "SURCHARGE" has been extended PLUMBING PERMIT FEE $ 1/9 ✓ `� rn until June 30, 2013, STATE SURCHARGE $$ c.. U The minimum surcharge fora TOTAL PERMIT FEE .S "fixed fee" permit is $5.00 This Application Becomes Your Building Permit When Approved Paid /'1 L s e-0 Re • - . No. / j r�/7 (a J'(o Date B Buildine Official Date O 1/U � f . `1 , 24 hour notice for all inspections (952) 447 -9850, fax (952) ` 447 -4245 IF 4646 Dakota Street S.E., Prior Lake, Minnesota 55372