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Monday, Apt 2013
Current Resident
5281 SHORE TRL.,%
Prior Lake, Minnesota 55372
Re: Building Permit Number 12 -0120. We request your help y) //
In review of the building permit files, it was discovered there is an open permit for
Water softener at the above address. Please call by Monday, April -22”, 2013 to
set up an inspection. If there has been no contact from you by this date, the City
will deem the permit abandoned and invalid. (per State Building Code R105.3.2).
This permit abandonment will be recorded in the permanent public record for this
address.
Any new work relative to this type building permit will require a new permit along
with new permit fees.
Please call the Building Department at 952 - 447 -9850 to schedule your inspection
date.
Thank you for your cooperation,
Sincerely, 10 9 0
coo
0
Building and Inspections Department 5 ' - co nis 0 -fls
City of Prior Lake .0)0" '‘‘ +' °, ":.
14,01 3 } flit rti
O PRIp� C./ Date Rec'd
N 9 CITY OF PRIOR LAKE PLUMBING PERMIT
4
I Gold city PERMIT NO.
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
_5as I 5■Ore — Era', I NE 55 3?
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) FjR__-\ g r \v-\kho.\,S (Phone) 6 1 a - a a - Og b7
(Address) ,Sca $ I S\ 0 7 J i Ck 1 l 1\)-€
APPLICANT
(Name) CUI I IGAN WATFR CONDITIt7NING (Phone)
6030 CULLIGAN WAY
(Address) TONKA MN 55345
(AddirA) 93 3 -7200 (City) (Zip Code)
(Contact Person) (Phone)
1
APPLICANT SIGNATURE , ' 1 DATE 0 - of - I c 4.
—
APPLICANT PLEASE COMPLETE B ELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough -ins
Dishwasher Water Heater
Floor Drain j 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
The Minnesota Statutes § 326B.148 ost $ Building Permit #
"SURCHARGE" has been extended
until June 30, 2013, PLUMBING PERMIT FEE $ 49 ,51)
The minimum surcharge for a STATE SURCHARGE $ .5 .00 40-
"fixed fee" permit is $5.00 TOTAL PERMIT FEE $ 54
This Application Becomes Your Building Permit When Approved Paid 3 �y �� Recei , o. ate / 'f By co clJ
Building Official Date a, L Y I
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372