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HomeMy WebLinkAboutPlumbing Permit 12-0047 7D TE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED Z / /Z ifD ADDRESS / S. 3 ,� 3 - L6-5j\ - ,6 OWNER CONTR. PHONE NO. PERMIT NO. /2" -'7 ❑ 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: ti 1 6-7 ',()/P tiCe .(0,■ -7 YORK SATISFACTORY, PROCEED ❑ CORRECT ACTION AND AND PROCEED ❑ CORRECT WO • OR REINSPECTION BEFORE COVERING i Inspector: / � /'"A/• Own- ontr: CALL 447 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH do SAFETY! INSNOTI 4 P R /0 '�fr Date Rec'd 1 7, 0 s '% � CITY ()F PRIOR HAKE PLUMBING PERMIT INN.s'0; 1. B File I PERMIT NO. 2 _ ?. old Cey 3. Yellow Applicant (Please type or print and sign at bottom) _ ADDRESS ZONING (office use) .k ' ■ !, it S LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION _ PID OWNER � (Name) AY /� rr ir) (Phone) E11 CE 5� - z.)c3(Q 3 (Address) 1 535 1e S R 0 C Prior lu.Ke. 5 -- -- b APPLICANT (Name) (Phone) 052— LILA— V3 Appliance (Address) 14105 Rutgers St. NE Prior( 55372 (City) + (Zip Code) (Contact Person) MI e Y \e \\' Mal h fl (Phone) �C) `I — PQ — 2 -,4 1 APPLICANT SIGNATURE -- DATE J n j Z- 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 _ 1 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 O© The Minnesota Statutes § 326E3.148 Est $ �� . Building Permit # "SURCHARGE" has been changed for one year effective PLUMBING PERMIT FEE $ July 2, 2010. until June 30, 2011. STATE SURCHARGE $ .50 The minimum surcharge fora "fixed fee" permit TOTAL PERMIT FEE $ 5L1 . 50 is 55, beginning July. 1, 2010 This Application Becomes Your Building Permit When Approved Paid �- ) Receipt No. ( Date / 2 J By t�/ 7 Buildine Official Date 24 hour notice for all inspections (952) 447 - 9850, fax (952) 447 - 4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372