Loading...
HomeMy WebLinkAboutPlumbing Permit 11-0706 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED pl ( 5 I I t ADDRESS 445 4. F`, J S OWNER 1 ut •Nr -- eil CONTR. PHONE NO. PERMIT NO. ti (.. (9 ( ❑ 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 ❑ MECH FINAL ❑ COMMENTS: - Paz.k Otc t) A 'hay 4- L U/5 J 4 1 • 40 � P — X WORK SATISFACTORY, PROCEED ❑ CORRECT : TION AND PROCEED ❑ CORRE• ' 4' , CALL FOR REINSPECTION BEFORE COVERING Inspector: Owner /Contr: CAL 7 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! MINOTI 0 PRio Date Rec'd , . e CITY OF PRIOR LAKE PLUMBING PERMIT F(t w 0- 25 INIVEsoo z I. G oI Fc;ae ly PERMIT NO. I c ell 3. Yellow Applicanl �� (Please type or print and sign at bottom) ADDRESS us-4 e F 5L, > ; ,4 ftd, 5):-.1 ZONING (office use) iv:. r lake, A' 5-5-372 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID (Name) T ."0 pioiG rk 5 e),,©0 I D; 546z4 it 7 / cl (Phone) 9 5.2 " 2Z - O5`6 D (Address) Lis Tt7 w GC" S-I S f N o r La jct.. , M N S6 72 APPLICANT (Name) AA ..; PC A/1 c r►n n `ca I (Phone) I S) - I /6 9- 4 9 S 8 (Address) /a° g 30 4044 4 ✓t'. s ll - l--0 ke,,: tie MN SS (Address)) - (City) (Zip Code) (Contact Person) OUS - h rt I SScn " 1' (Phone) 9 ). -1 4 69- cut !a6 APPLICANT SIGNATURE O4/ DATE ) 8 0 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 Ve-4- Glds* 5-..I►. 9 P«•,p - (..r ha I p ovl or rea. ✓ 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 ' )st $ r , <7BD / 6 Cl) Building Permit # "SURCHARGE" has been extended until June 30, 2013, PLUMBING PERMIT FEE $ x_50 The minimum surcharge for a STATE SURCHARGE $ . 0 "fixed fee" permit is $5.00 TOTAL PERMIT FEE $ b %.54 - .00 This plica J on ' • omes Your Building Pe i hen Approved Paid¢ Rec ' , it No . 634t6 i 1' /■ _ B 7 r/ Date ., .3 I / a Building 0 i cla + Date IlJJ ✓ w 24 hour notice for all inspections ( ) ections (952) 447 -9850, fax 952 447 -4245 / 4646 Dakota Street S.E., Prior Lake, Minnesota 55372