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Plumbing Permit #12-1253
DATE TIMIE CITY OF PRtOR LAKE INSPECTION NOTICE SCHEDULED �"�3 y'� ADDRESS / �v'_� � . f�� Cc.;� � � �C�.;l�t �f'� �'. , ,i�. - ;;•-�. OWNER CONTR. "/ � � � i� PHONE NO. PERMIT NC?. � y , — , .,.s-; - � , s - � x �`t,.'� ` ,� O FOOTING 0 PLUMBING RI f �❑ EXJGRAD/FILUNG ❑ FOUNDATION ❑ MECH RI p COMPlA1NT 0 FRAMING 0 WATER HOOKUP ❑ FIREPLACE RI ❑ INSULA710N ❑ SEWER HOOKUP ❑ FIREPLACE FINAL � FINAL � PLUMBING FINAL I� GASLINE AIR TST 0 SITE INSPECTION O MECH FiNAL L3" �-.�z-,t_ 5�����,�w COMMENTS: ;- . , i Y �,,, .. —.._ ,._ ?�� 4. _ . ,.'°" , / ""1� .r+ ,y ? ''x,.^'�l ;� � - '�f� � _ 'e,, '� j-....a it_��,.: =� t7 ._. . "`:' ,_ � � ... '/ 1 '� ., � . � ,� _� Y_�- � .� _. ,, 1 , _ ; r { £l YYORK SATISFACTORY, PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector. ; + � OwnedContr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YO(!R PERSONAL HEALTH & SAFBTY.� INSNOTJ . V o � p Rip� Date Rec'd � CITY OF PRIOR LAKE PLUMBING PERMIT � � � d '�Nn►ESO'�" --- 2: B � �: PERMIT NO. /.,�— �.�� 3 Ydlw Apolie�et Ot t � ![ ADDBESS ZONII�TG tamoc u�e) l� �� LBGAL DESCBIP'IZON (o�ioe we aa�ty) LOT BLOCK ADDITION PID OWNEB (N�) - �11�1�- �- 7 hl (P�) c�) ��Y�t11�ICl�r � I�k A�4 y► c�an�� `I V3• ►�'� �- z2.lo� (A,idr�ss) 1� t �) tr) (�p ��) (Contad PGCSOn) (Phone) � � �J' ZS3 � g � APPLICANT SIGNAT'URL� � DATB APPLICANT PLEASE COMPLETE BELOW uantl of F�ture of I�Yrt�re Bath '11�b with or without showcr Ro -ins Dishwash�er Water Heater Floor Ihain We�er Soft�«' Lavato Sink Staad ' ashin Ma�hine I.a Tra 1 ar 2 com artment sink Sew e E'ector Shower Sta11 Backflow Asaemb s� Backflow Assemb Test Bar Sink Lawn S riakler Water Closet Toilet Othei' FEE SCHEDULE Indu�ial, Coa�ma�ciut dt Mniti-family 174 of job coat wi@► a 549.50 minimom Resideotial. New One k'trvo-F�mity 5149.50 Reeidential, Additi�s 8t Alterationa S49.S0 The Minnesota Statutes § 326B. J48 � S Building Permit # "SURCHARC3E" has bxn changod for one year efleecttve PLUtvIBIl3G PERMIT FEE $ q- 5 0 . July 1, ZOtO, natii June 30, ZOl l. STATE SURCHARGE $ �� TUe aia(mrm �rc6tr�e for a"Jised fa" permit �.�pTAL PERMIT FEE $_,_, • S� it �, bc�ianla� Jr[y l. 3010 T6b Applic�tien Hecomes Your Buildiag Permft W6en Approved Paid J j — �1 J / - � Raxip N. / 7 (o Date �DI lZ— BY �,.,,,L� BWdloa ot�dst DaAe 24 io�r notice for W lotpectbat (9S2) 4dTr98'�, tu (!S2) 4t7-�tL�IS I606 Daltets 3trat 5.�., Pr1or Llte. MVaeww 53372