HomeMy WebLinkAboutPlumbing Permit #09-0502 ,�i � DA7E TriAE
CiTY OF PRIOR L-AKE gCHEDULED
....---"t'"' ! -�'�
INSPECTION NO'fICE ' �� � �
Ao�Ress
11�I � ��-��
CONTR. Q �� �� �
OWNER —
PERMIT NO.
PHONE NO. � �GRpp1Fi�LING
O PLUM8ING RI p COMPLAINT
O FOOTING ❑ MECH R� p FIREPIACE Rt
❑ POUNDATION � �yqTER HOOKUP � F{REPIJ�CE FINA� �
O FRAMING ❑ SEyyE�t HOOKUP p GA LINE AIR . �
❑ iNSUI.AT�ON p p�,UM81NG FINAL � .
❑ FINAL p MECH FtNAI
❑ SITE INSPECT�ON
COMMENTS:
J .
_ �.
i�
p�'WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
p CORRECT WORK, CALL FOR REINSPECTION BEFORE C�VER�NG
tnspector: � ° .
pwnerlContr:
LL 447-9850 FOR TNE NEX7 INSPECTION 24 WOURS IN ADVANE�
CA Tg � SAF
CODE REQUIREMENTSARE FOR YOUR PERSON� H�'
uvsnor,
O � PRip� � Date Rec'd
� � CITY OF PRIOR LAKE PLUMBING PERMIT �� ,3 y
� x � d
c.�' �ri
�
'. B '°` �''e pERMIT NO.(� �
2. ca�a c�ty
� 3. Yellow Applicant .
Please e or rint and si at bottom
�
„ ',1� °'" ZONING (office use)
'CAl C� �/4k S/�� /�c% S. � e
LEGAL DESCRIPTION (oflt'ice use only)
LOT BLOCK ADDITION PID
�-w�:x d SS � � � ,� /� ., s, /Z -S'�8 - .�6y3
� So
� � E �
. .��;
(Address)
���T . ��:.r s . ,
��= D� n,� c.c.� Nr �i �v G ,���.'* � s� ' 1.�3 - 6�"�
c:r .� Z°� l7'���� /1/. 1-�o���os Ss���3
(Address) (City) (Zip Code)
���.�� .�N� �� �� a�► ��z -�`� �- s�3,�
(Phone)
���������.K. .3� � : � �3 a
APPLICANT PLEASE COMPLETE BELOW
uanti T e of Figture Quanti T e of Fizture
Bath Tub with or without shower Rou h-ins
Dishwasher Water Heater
Floor Drain Water Softener
Lavato Bathroom Sink Stand Pi e Washin Machine
Laun Tra 1 or 2 com artment sink Sewa e E'ector
Shower Stall Backflow Assembl
Sinks Backflow Assembl Test
Bar Sink Lawn S rinkler
Water Closet Toilet Other
FEESCHEDULE
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 $ �I. S�
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ s� i
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid �� � Receipt No �
i
Date . � �, By
Buildin¢ O�cial Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372