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HomeMy WebLinkAboutPlumbing Permit #12-1442 TE TIME CITY OF PRIOR LAKE �� ` ��, INSPECTION NOTICE SCHEDULED � � /3 /'_.�C/ ADDRESS � `� �,� � 1�,7 �`�. � ` � " OWNER CONTR. I PHONE NO. ' PERMIT NO. ��� I�� �� ; I D FOOTiNG � PLUMBING RI O EX/GRAD/FILLIN(i O FOUNDATION � MECH RI O COMPl.A1NT O FRAMING 0 WATER HOOKUP 0 FIREPLACE RI � INSULATION O SEWER IqOKUP O FIREPlJ10E FINAL O FINAL O PLUMBING FlNAL ❑ GASUNE AIR T8T O StTE INSPECTION O MECH F1NAL O � � ', COMMENTS: l..c.1 �.Z.,,I� �j,�""il.(�— �SS�� � f�-� �1MORK SATISFACTORY, PROCEED ' ❑ CORRECT ACTION AND PROCEED O CORRECT , LL FOR REINSPECTION BEFORE COVERINO ' InspeUor. _.._, ---_ _,.. __ �v�eoe[CCoM�: C LL 447-98b0 FOR THE NEXT SPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOU/t PERSONAL HE�lLTN d� SAFETYJ Wsrwr, O � pRlp� Date Rec'd � 9 CITY OF PRIOR LAKE PLUMBING PERMIT � x � � � l. Blue File PERMIT NO . �Z ,, f��� 2. Gold Ciry � 3. Yellow Applicant ease or ' t and si at bottom ADDRESS ZONING �ot��,�� I'S y 83 s1n �� n-� �R SE LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID �aWNER� 1 C,� CX • V �l � Y"T"t'�JC�� (Phone) Q�J 2—�c' �P �Z.q� (Address) l � APPLIC.�TT� , � �.,� (Name) ��' A l� 1 Q�'. � �,1(Z_��Q 1��� �. � (Phone) q �'�Z=y'-�[�� � �v �{� (Address) I�LIL�S I�Lt'�a1C� �T • n�L nY � �� 1 ak � �� c55 312 (A ess) (City) (Zip Code) (Contact Person) �. L � C� ��(d, �'I. I'� (Phone) q � Z - y �� — ��4' � APPLICANT SIGNATURE DATE � Z / r/� Z APPLICANT PLEA5E COMPLETE BELOW Quanti T e of Fixture uanti T e of Fizture Bath Tub with or without shower Rou h-ins Dishwasher Water Heater Floor Drain / Water Softener Lavato Bathroom Sink Stand Pi e Washin Machine Laun Tra 1 or 2 com artment sink Sewa e E'ector Shower Stall Backflow Assembl Sinks Backflow Assembl Test Bar Sink Lawn S rinkler Water Closet Toilet Other FEESCHEDULE 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 D !7 Estimated Cost $ D� • Building Permit # The Minnesota Statutes § 326B.148 "SURCHARGE" has been changed for one PLUMBING PERMIT FEE $ year effective STATE SURCHARGE $ .50 July 1, 2010, until dune 30, 2011. TOTAL PERMIT FEE $ SC7 The minimum surcharge for a"fixed fee" permit is 5�5, beginning July 1, 2010 This Application Becomes Your l3uilding Permit When Approved Paid �� rn Receipt No. /�� q J ci / Buildina Official Date Date i., // I / / � By / !�/ 24 hour notice for all inspections (952) 447-9850, faz (952) 447-4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372