HomeMy WebLinkAboutPlumbing Permit 08. 1029 o ..' PntodP
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Monday, April 8, 2013 0" otR
Current Resident Ott° 5�������1 13
14219 ASPEN AV � CL� A4�1�'29,
Prior Lake, Minnesota 55372
Re: Building Permit Number 08 -1029. We request your help
In review of the building permit files, it was discovered there is an open permit for
Water heater 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
C- Date Rec'd
(jRro
�P CITY OF PRIOR LA PLUMBING PERMIT a '
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1. Blue File
2 Gold City PERMIT NO. 0 /01
.
3. Yellow Applicant
Please Ey e or #riot and si:n at bottom
ZONING (office use)
ADDRESS Ave: � r
I t 2 J 711 6,11 . e
LEGAL DESCRIPTION (office use only) PID
LOT BLOCK ADDITION
OWNER , I A 3C A ' .!
(Phone) 0 L / 3 _ 7J l e
-) (Name) , .
(Address) ,
i 1
(Saw, a. i ' 1 a-
APPLICANT (Phone)
(Name) Cham • ion
651 -365 -13
(Address) 3570 Dodd Rd. x100 (Zip Code)
Nveztdivio ,( (City
55123-'1 ' 0
(Phone)
(Contact Person) �� - �`�
APPLICANT SIGNATURE
if_____:_—" ,, -, A un K 40 .— -- DATE
APPLICANT PLEASE COMPLETE BELOW Quantit T e of Fixture
Quanti T 1 e of Fixture Qua Roush -ins
Bath Tub with or without shower 11111111111111
ess) 3570 MOM Softener
Floor Drain 1111111111111111 Stand Pi•e Washin_ Machine
Lavato Bathroom Sink Sewa_e E'ector
Laund Tra 1 or 2 com • artment sink Backflow ector Assembl
IIIIIIIIIIIIII Shower Stall Backflow Assembl Test
MEM
•
Bar Sink Other
Water Closet Toilet)
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
Estimated Cost $ Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $ 71_20—L----al
.50
TOTAL PERMIT FEE $ A.
(Office Use Only) Paid gr ipt No.
57(06
This Application Becomes Your Building Permit When Approved —0
Da ) 2 • 1 .4
BuildinE Official Date
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 g7s1
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
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