HomeMy WebLinkAboutPlumbing Permit 09. 1001 VR/
0 ° P
M
Monday, April 8, 2013 �R���% AIal2��3
Current Resident �4oXS������� �o l�A��1���1
17215 PANAMA AV 10 �CIpS�� Z0�3
Prior Lake, Minnesota 55372
Re: Building Permit Number 09 -1001. We request your help
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,
Building and Inspections Department
City of Prior Lake
I (6 .- c . PRI
4,' JE e CITY OF PRIOR LAKE PLUMBING PERMIT Ne11. Ed
, r fNN ., ::e- DEC 4 7 2009
I. Blue File
(Please . e or 'Tint and 2. Gold
city PE IV
D Si �i at bOttOnl 3. Yellow '.1
ADDRESS ) Applicant ��FF
I 111 5 Pq � yY\ Z NING (office use)
553 7a
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
OWNER PID
(Name) .5 E 1 n A re . t ( SW 0 .� 5 0
(Phone) a - c335 -508 V
(Address) 1 /..) 1 5 PG
>n C■ vvi G
APPLICANT
(Name) CULL! .: t i
` ' x (Phone)
(Address) ii 6O CULLIGAN WAY
( Addres S ‹! 93,3 -7200 (City) (Zip Code)
(Contact Person)
k k 0 (Phone)
APPLICANT SIGNATURE 1 j
— DATE _ _ - 0 •
APPLICANT PLEASE COMPLETE BELOW
Quanti T I e of Fixture
Bath Tub with or without shower Quanti T e of Fixture
1111111.111111
Dishwasher Rough -ins
IIIIIIIIIIIII Floor Drain
miniumg
Lavatory (Bathroom Sink) Water Softener
11111111111111
Laund Tra (1 or 2 com.artment sink —� Stand Pi se (Washing Machine)
Shower Stall Sewa:e E'ector
Backflow Assembl
Bar Sink Backflow Assembl Test
111111111111 1111111111 Water Closet (Toilet) Lawn S Irir_kler
Other
Industrial, Commercial & Multi- family 1% of job cost with a $49.50 SCHEDULE
Industrial,
Residential, New One & Two-Family $149.50
Residential, Additions & Alterations $49.50
Estimated Cost $ o� 00 . O
Building Permit #
PLUMBING PERMIT FEE $ Li 9 .5 0
STATE SURCHARGE $
TOTAL PERMIT FEE
(Office $ 50
fice Use Only) _�� O
This Application Becomes Your Building Permit When Approved Paid tN
�� � Rec- ''t No. ���jj
Buildi Official Date `-9Z 7
Date
/Z-. 7i0 '
24 hour notice for all inspections (952) 44 7 79850, fax (952) 447 -4245 a
•
4646 Dakota Street S.E., Prior Lake, Minnesota 55372