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Plumbing Permit 11. 0297
Oi '>i'R1© tri ` Monday, April 8, 2013 :::11:114° Al SI913 Current Resident � pRES4 °14" 15567 BROOKSIDE LNL� Cti���� Prior Lake, Minnesota 55372 Re: Building Permit Number 11 -0297. 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 ( Itl Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT 4 tIN'NESO2P 1. Blue File PERMIT NO 2. Yell City NO. p / 1 Z9 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) j ss &1 '-- , (Z ) O lam, Uj LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER G (Name) (J GAAS (S\7,- (Phone) (Address) 1 sJ 6 J roo ICS 1 o L 1r\ ■ (N 1 • air." S r.,..' Q� ^ — iJ / 6 / Li (Name) � � � ►,. �►,� .IA � (Phone) (Address) r L ia 0 L'" 3 tdit .e.._` cS3 e l (Address) (Ci ) (Zip Code) (Contact Person) !✓ aA t RMW51 i, r y SU ) MD iS 1 (Phone) 3 % G 9 �Z' APPLICANT SIGNATURE DATE APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough -ins Dishwasher 1 Water Heater Floor Drain 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 changed for one l f � year effective PLUMBING PERMIT FEE $ � July I, 2010, until June 30, 2011. STATE SURCHARGE r� " CA? — The minimum surcharge fora "fixed fee" permit $ ? is $5, beginning July 1, 2010 TOTAL PERMIT FEE $ , SD This Application Becomes Your Building Permit When Approved Paid 45 --# 56 Re;t No. & 1�C/ � 2 / H Building Official Date Dat _ , C f 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372