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HomeMy WebLinkAboutPlumbing Permit 11. 0286 �( � DATE TIME CITY OF PRIOR LAKE 0 INSPECTION NOTICE � �� SCHEDULED � � ( ADDRESS ��tN��Qr � �O(�, OWNER CONTR. PHONE NO. PERMIT NO. l� Zgy� � FOOTING 0 PLUMBING RI ❑ EX/GRADlFILLING ❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT ❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI 0 INSULATION O SEWER HOOKUP ❑ FIREPLACE FINAL ❑ FINAL O PLUMBING FINAL � G �1��� ❑ SITE INSPECTION O MECH FINAL COMMENTS: i � WORK SATISFACTORY, PROCEED ❑ CORRECT AC710N AND PROCEED ❑ CORRECT , CALL FOR REINSPECTION BEFORE COVERING Inspector: OwnedContr: CALL - 5 FOR THE NEXT INSPECTION 24 HOUFtS IN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI 0 00000 - 0 a 0 3 IN 0 O Cn -n - 0 z -n - n - n 0 $ q-i 0o z m § > 0 73 ;$3 PT, C � / §k} \ 73 } � co rn r g e w 0, m r §)So 2 Ti a ® a Z § \ t • \ 0 \ ? /�� q q 3 • n § l ir 0 0 � � n o III § 2 r § ) • / 0 zl 000000 \ m m m ������ 2 w cn xC ta m m 0 7 cn K E m ] t== -d 3 z m 0 2 r -n RR @ - 0 ~ q \ k § Icy § # r m Fi FR _� 0 o tli \ 0 r { 0 ' | E 0 ,.0.00 D °V \ } �§ mfl 0 \ G' P. k �1� K�� » n _g "" r k § !Ti ( -4 r '5 (ti Cit/ G 2) 5 /j (r' 4, , 0 e l� � PYI cs pRI Date Recd ti CITY OF PRIOR LAKE PLUMBING PERMIT ^ L ` � hN E SO 0 C I / O 2 B cm PERMIT NO. 15q V ' 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING ,� ZONING (office use) /6 / o / O vt�l lori4 3 e 0 �E �1 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER j , /,� �Sa_ c/y7_��� (Name) t 'n Gt �- J 0czc i (Phone JI I� 1 (Address) /60 g �u w,�j t t e Gt r6I � r f fe , v' Met k€ �il 5 APPLICANT / _ '751 —i° VI/ (Name) r:- -% )ic-- (Phone) 74t 1��..si i I,. Ave_ Pe..._ RAvse-- /1l £33 `/V (Address) J ' po n (Address) (City) (Zip Code) (Contact Person) .i �iLi`- t. �' (Phone) g' ` / q 7 q APPLICANT SIGNATUR "l�� _., ,, u DATE //,/ APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough -ins Dishwasher / 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 0 - Residential, Additions & Alterations $49.50 Estimated Cost $ � / Building Permit # PLUMBING PERMIT FEE $ qq `o STATE SURCHARGE $ TOTAL PERMIT FEE $ 5 (office Use Only) T 's Ap Becomes Your Building Permit When Approved Paid( + L Receipt No. L 2. 373 `, 5 -251 l Date c t ��S _ (( By cJ),,, uildine Official Date 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 5 0 0 0 n 000000 - 0 o a "= n n 2§K 0 §2K @O§ g m m � CI' 2 � m 2�� §kx Z M xi k �71 % t & Z �Q�Q P z- to 14 > - § § o Q 6 f 0 0 6 A ; \ p \ z0 . mm ~ r 0 7 r o • Z 73 0 Q '* 0 m mmm ■� ® ■■� n E \0 q �0 z mzs v n Ca 7 f 0 §77_§ m © x m k o r2§0 73 J 0 te § § tEE z % z r�� R U- o X Z _ = m I.1.4 M o $ M )5k01301:113 • 1 0 / 0 , kk��§ .4 \ 2 ri c c, (c q -mm - y 1 . Ki ��� U M � Q : .