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Plumbing Permit #12-1254
DATE TIME CiTY OF PRtOR LAKE INSPECTION NOTICE SCHEDULED � '� � '� ADDRESS / �i;_� � � � ��,, � � ,�C�.:l`J� �1� �., �cr�;:��_ OWNER CONTR. ;" / � � �:. � zi ,� ; � ^ x�.i P1iONE NO. PERMIT NO. .t y �` / 3. — I .+..3' s" � � s - / �i.�'. , r� O FOOTING ❑ PLUMBING RI ❑ EX/GRADlFILLING ❑ FOUNDATION ❑ MECH RI ❑ COMPlA1NT O FRAMING ❑ WATER HOOKUP 0 FIREPLACE RI ❑ INSULATION O SEWER HOQKUP ❑ FIREPIACE FINAL 0 FINAL O PLUMBING FINAL ❑ GASLINE AIR TST ❑ SITE INSPECTION ❑ MECH FINAL F3' �_-.��—.—.. 5�i�^y�;��b'�.� COMMENTS: F - . �, l. �. �. _- �1 �'. t . .,r�+, . �m M."�4 .�K.._�� � .. .. � .. - "� �� 0 . _ t � � �`�, '-� #�•• .�. �"' � ._ � y �! i� `' 4 , `�',��� � 4' .♦ �. .. A� Y•' \ i � � �� _ i � ���t � `El YYORK SATISFACTORY, PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVER�NG Inspector: � � y _ Uwner/Contr. CALL 447-9850 �OR THE NEXT INSPECTION 24 HOURS lN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.� Uvsnort V o � P � Date Rec'd ,� � CITY OF PRIOR LAKE PLUMBING PERMIT �. � U �� i: e �w � PERMIT NU. fZ -% Lvr�L s vst�ow ApNic.r or t md at ADDBESS ZONIIVG toma we) l�0 5 ,�. C v LBGAL DBSCHIPTION (offioe u>e only) LOT $LOCK ADDTTION p� OWNEB ��� (�'��) �Q' ZO'_50 (Addressl � �' � a.�.�n c��� �1t�� • �-� 3• z��-47 G°►�> � - �p � ( ' ) (�P C ) (Contact Person) (Phone) � �9 �' 2�✓�', � � �(� A,PPLICANT SIGNATtJRE � DATB I D•� Io • �� APPLICAIVT PLEASE COMPLETE BELOW uanN of FI=turc eand oi�Y�re Bath T}ub with or without shower � '� Dishwasher Water Heater Floor Drain Water Softcner Lavato Sink Stand Pi ashin Machine La Tra 1 or 2 artment sink Sew e E'ector Shower Stall Backflow Assembl S � Backflow Assembl Teat Bar Sink Lawn S rinkler Water Closet Toilet ��' FEE SCHEDULE t�trial, Canmacial & Mutti-family lYo of job coet with a 549.50 minim�mo � Addi �� Alterati'om 549. 0 The Minnesota Statutts ¢ 326H.148 � S Building Permit # "SURCHARCiE" has lsan changod for ont 5 . yesr effective PLUMBING PERNIIT FEE � Juiyi�zo�o,nat�idune30.201�. STATESURCHARGE $ • � The oiatm�m srre6ar6e for e"lised kt" permit � .tpTAL PERMIT FEE $ �.��'`-� � It �, bc�laela� Jr1y 1, 2018 Thb AppNcatieo Becoma Yuar Buildi� Permft W6�n Approved Paid �� � R�� o. 06 Date ��/2l� L By � Ba�ea omasl Dste 24 �oar eotit�e for W intpecfb� (9S2) 447-4850, tu (�2) 447-�tZ4S 4646 Dakob 3treet S.�, Prbr I.dce. MI��+� 56372