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Plumbing Permit 11-0737
DATE TIME CITY PRIOR LAKE IN c� INSPECTION NOTICE SCHEDULED ADDRESS 51c -( 42.5 t ,� b` OWNER CONTR. PHONE NO. PERMIT NO. I/ -• 7 39 ❑ 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 ❑ tEcH FINAL ❑ COMMENTS: /L2r�< I .M" 41 - ' 11111111k j ippi r/' ❑ WORK SATISFACTORY, PROCEED ❑ CORRECT ACTION AND PROCEED ❑ COR - • RK, CALL FOR REINSPECTION BEFORE COVERING Inspect. // Owner /Contra CALL 447 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENT S ARE FOR YOUR PERSONAL HEALTH & SAFETY! Av _ ' '' <f) CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd , ,' TEMPORARY CERTIFICATE OF ZONING COMPLIANCE `.,, AND UTILITY CONNECTION PERMIT rAWES° wife File 2 Pink ( � /� PERMIT NO 73 7 2 City 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) 5 / L / P©,)C)s E:O L,.) Prior LoLke LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PH) OWNER .,--- I ' f-�2 S c . 5 .? 'O '19c' (Name) ) n om ' (Phone) (Address) 5/ 0 7 Po s E 1 L. kJ Rio/ e fill) 5 S 3 7 Z . BUILDER (Company Name) Se(ecf FYe (4:i('ce1t) C Si Rod" oo (Phone) last e =off 3 130 (Contact Name) J0 1: c (Phone) L9 (• Sit Z. + 9 (Address) 1'0 7 O CenfCc p o i Vf C L Ve • 1 ti fYi) S$ 1Zc,_ . TYPE OF WORK 0 New Construction ['Deck ['Porch [�Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace ['Addition ['Alteration ❑Utility Connection CODE: M .R.C. ❑I.B.C. ❑ Misc: Type of 1 1. . on: I II III IV V AB Occupancy Group: A B E F H I M R S U PROJECT COST /VALUE $ Z12 / .3C:C Division: 1 2 3 4 5 (excluding land) I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the above- mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can revoke this permit for just cau . Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. g- �� aa5`� x3/ / 3 Signature Contractor's License No. Date Permit Valuation 4 '^� -rr Park Support Fee # $ • Permit Fee $ -14 7 SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; 1"; $ State Surcharge $ cif" / Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # "$ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fir�� lace P� t Fee A$ TOTAL DUE $ ' �� / i ii ''» 't wh en ed P 7 �1 ►+ � E Date = i 1 t By t • uildin Official D This is to certify that the r . . . .. ove application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. Planning Director Date Special Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372