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HomeMy WebLinkAboutBuilding Permit #12-1255 CtTY OF PRlOR LAKE DATE TIME INSPECTION NOTICE SCHEDULED . '� Y '� ADDRESS ��i.`_�� �°`� Cc:�,, � � C�.:I'-j�"1� ..tr �� � OWNER CONTR. "�,% v � � � : zi � ; a - �' 2 j"/r . PHONE NO. PERMIT NO. _/y, - , ,,.�--;' � , ,. - /� s ` .r O FOOTING O PLUMBING RI �❑ E)UGRADiFILUNG ❑ FOUNDATION ❑ MECH RI 0 CQMPLAINT O FRAMING ❑ WATER HOOKUP � FIREPIACE R! ❑ iNSULATION O SEWER HOOKUP ❑ FIREPLACE FINAL O FINAL ❑ PLUMBING FINAL O GASLINE AIR 7ST � SITE INSPECTION ❑ MECH FINAI. Q' [�_.�,,� t �, �.,� ;,, �� COMMENTS: � �� � ������---�— � _ � � � � -' ��..�� �'=�-� ,, .. ... ���� .,t — '^*.. �� � � � � .� {' � . . ^► { 1 Y �... � i .. 4., +.! ' S� v/'� .` � 'LJ . .. � ",! � } . Y�' .f �n. .. ` �'R � � M � . t •1. _ � ;�� �l WORK SATISFACTORY, PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERiNG Inspector: _ � + OwnerlContr. CALL 447-9850 �OR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.� tNSNOTl _ V o � P � Date Rec'd ,, � CITY OF PRI4R LAKE PLUMBING PERMIT �. � � �� ' H '"` P "` PERMIT NO. > )j'r 2. Goid ��Y � /�C — /�C .% .7 3 Ydtow Applie�el or t md at ZONING (a�ae me) ADDBESS � � LSGAL DESCSIPTION (o�6ce we onty) LOT BLOCK ADDTI'ION � OWNER (l�tame) f�'� (Phone) In51- �OS� • ���.I tAddress) AY � `� �e �• �`� �- Z.'2�7 ��� L�r�, pl�l� ►� q I�T_ c��� (pddnss) �3 � ' (Address) ( ' ) <�P CO�) (Contac�t Person) (Phoae) � � � •15� • �`l � � APPLICANT SIGNATURE � DATE ��' ��D'l 2 APPLICANT PLEASE COMPLETE BELOW usntl of Ftzture aan of Ffi[b�re Bath'Ibb with or without shower � -� Dishwasher Water Heater Floor Drain W�' SO�� Lavato Sink Stead Pi ashin Machine La Tra 1 ar 2 co artment sink Sew e E'ector Shower Stall Backflow Assemb S� Bacldlow Assembl Teat Bar Sink I.awn S rinkler Water Closet Toilet �� FEE SCHEDULE Induslrial, Commec�ciat 8c Muhi-femily 1'iG of job cost with a 549.50 minimum Rasidee�ial, New One dc 'nvo-FrmilY S 149.50 Reeidendal, Additi�a Bc Alt«ati�s 549.30 'mt Mlnnesota Ststutes ¢ 3268.148 � S Building Permit # "SURCHARCiE" hes be� chan�od for or� yesr effective PLUMBING PER1utIT FEE S�,� . duly 1,1010, notil.►une 30,1011. STATE SURCHA.R(3E $ •� Tbe oiatmrm �rc6�r�e for a"ti:ed ta" permit • TOTAL PERMIT FEE $ u �, n�p.�� a■ry �, 20�0 T6b Applicatien Becomu Yoar Bnildisg Permlt W6w A�►roved Paid �—�� Rcaipt D � Date /D /y By ,r^-.�� H�lid�a Otricist n•� 24 �oar eotioe for W latpectloat (9S2) 44T-98S0. �(� 44T-4?AS 46�6 Didceta Sd�eet S.�.� Prlor I.du, Mitaaot� SSi72