HomeMy WebLinkAboutPlumbing Permit 09. 0033 4 1'R10
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Monday, April 8, 2013
Current Resident ti�11tt%tNT
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14089 WILDS PATH X�OS4� �� �
Prior Lake, Minnesota 55372 F11,EtL� � 21 201 3
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Re: Building Permit Number 09 -0033. 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
Y type building permit will require a new permit 8 p q p mit 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
0. PR 9� Date Rec'd
. r CIT OF P RIOR LAKE PLUMBING PERMIT
ti, 9
itil AWEso
I cola any I PERMIT NO. 0Y n 003—t
(Please type or print and sign at bottom) 3 Yellow Applicant
ADDRESS
1 kW 8q \ S i ns P ocik N 55,7 l ZOI�IING (office use)
1 CJ( � 553 �(
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER �{}
(Name) A1 \L o kc3 ` `l /
i ` (Phone G i � l: - 1 ° 93 W
(Address) 19 U q ‘ WS PCA k )v W
.
APPLICANT
(Name) CULLIGAN WATER CONDITIONING (Phone)
6030 CULLIGAN WAY
(Address) M NNFTflNKA; MN 55345
(Addre,* ) 933..7200 (City) (Zip Code)
(Contact Person)
(Phone)
APPLICANT SIGNATURE DATE
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture uanti
Q tY Type of Fixture
Bath Tub with or without shower Rough -ins
Dishwasher Water Heater
Floor Drain
1 Water Softener
Lavatory (Bathroom Sink)
Laundry Tray (1 or 2 compartment sink Stand (Washing Machine)
Ejector
Shower Stall Backflow Assembly
Sinks
Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
SCHEDULE FEE
Industrial, Commercial & Multi- family 1% of job cost with $49.50 minimum
Residential, New One & Two-Family $149.50
Residential, Additions & Alterations $49.50
Estimated Cost $ 3 co , a) Building Permit #
PLUMBING PERMIT FEE $ L191,50
STATE SURCHARGE $ .50
(Office Use Only) TOTAL PERMIT FEE $ .50 , CAL
This Application Becomes Your Building Permit When Approved Paid 3--6
57 2_2,3
Building Official Date B
Date (, 2 7,07 ,
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372