HomeMy WebLinkAboutPlumbing Permit 09. 0221 ?Rio
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Monday, April 8, 2013
Current Resident ��
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15259 WILDS PKWY stsvolS ,����T �1�AC11�
Prior Lake, Minnesota 55372 No
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Re: Building Permit Number 09 -0221. 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 This permit abandonment will be recorded in the permanentl pub lic record for this Code R105 this
address. public
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 9 52 - 447 -9850 to schedule your inspection
date.
Thank you for your cooperation,
Sincerely,
Building and Inspections Department
City of Prior Lake
K PRIO+
CITY OF PRIOR LAKE PLUMBING PERMIT Date Recd
41 /VNEso t "
1. Blue File
Please ��e or print and si:n at bottom) 2. Gold city PERMIT NO. » f
ADDRESS 3. Yellow Applicant / O
S S I I t s P k \„J 553 a ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
OWNER PID
(Name) Ch r I S J ak I
(Address) 15 l � (Phone) 9s a - a a (_______________„_____A �a
�.1 \■JS Y n
APPLICANT
(Name)
(Address) 0 030 CULLIGAN WAY (Phone)
' 52 933 - 7200 45 (City)
(Contact Person) (Zip Code)
APPLICANT SIGNATURE , (Phone)
G
DATE - dcr - d
Quanti APPLICANT PLEASE COMPLETE BELOW
T • e of Fixture
Bath Tub with or without shower Quantit T • e of Fixture
Dishwasher . Rou t h -ins
Floor Drain
111111111111111111
Lavato Bathroom Sink Ei mmiumm i FaT t o ftener
Laund Tra 1 or 2 com . artment sink Stand Pi s e Washin: Machine
Shower Stall -� Sewa:e E'ector
Backflow Assembl
Bar Sink Backflow Assembl Test
Water Closet Toilet •
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 $ 0
Building Permit #
PLUMBING PERMIT FEE $ 9'9 , SO
STATE SURCHARGE $
(Office Use Only) TOTAL PERMIT FEE $ 50
This Application Becomes Your Building Permit When Approved Paid
A
lif- O ipt No. 57 i
Building Official Date V
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D n
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24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4 45 ,
4646 Dakota Street S.E., Prior Lake, Minnesota 55372