HomeMy WebLinkAboutPlumbing Permit 12-0087 D TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED D / r _ 3C—)
ADDRESS / 57 `/ S L`/�G
OWNER CONTR.
PHONE NO. PERMIT NO. /2— —g 7
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD /FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
At—FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: AJA -72/2-- e>4-7)/2--
426?
e (- 2% A L6
I ,WORK SATISFACTORY, PROCEED
�/❑ CORRECT ACTION AND PROCEED
❑ CORRECT / " I AL FOR REINSPECTION BEFORE COVERING
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Inspector: �..0 :: ner /Contra
CALL 447 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
vRi Date Rec'd
a., ;:::* k,fi.,e'
A CITY OF PRIOR LAKE PLUMBING PERMIT
41 In'NEs V '
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PERMIT NO. /2 07
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3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS � ZONING (office use)
1 111 S)i ine� l
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
((Name) OWNER Ghawn C r i 910 (Phone) �n. ! di 17
(Address) �1 1 t S�[� 1 (J "k) APPLICANT _
(Name) (Phone)
(Address) 1313 Danita Cr
Shakopee, MN 55379 (City) (Zip Code)
(Contact Person) 952- 445 -4803 J <-4 (Phone)
I
APPLICANT SIGNATU • . /i Ill 0 a. ■ f-' ! DATE 1 14__DIA(9•
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough -ins
Dishwasher 1 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
'ost $ Building Permit #
The Minnesota Statutes § 326B.148
"SURCHARGE" has been extended PLUMBING PERMIT FEE $ O. OD
until June 30, 2013, STATE SURCHARGE $ _ . • 0 .
The minimum surcharge for a TOTAL PERMIT FEE $ , Pia
"fixed fee" permit is $5.00 —
This Application Becomes Your Building Permit When Approved Paid 3 , z . Re ei t No. (90)21
Date
Z. 3 (i
Buildine Official Date •
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 1
4646 Dakota Street S.E., Prior Lake, Minnesota 55372