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Plumbing Permit #12-1256
CITY OF PRIOR LAKE DATE TIME INSPECTION NOTlCE SCHEDULED .. "� � � ADDRESS / �c`._� 7 �°`�� (`� �, _ � �rti N�e "f'� � �c ��i�` OWNER CONTR. '�./ t:i PHONENO. i�`•:z' ;�-r3i"'� PERMIT N(?. � _ �,,,,�-;-�� , s - �� �-t,�; < O FOOTING � PLUMBING RI � f � ❑ E)(/GRAD/FILLING ❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT O FRAMfNG ❑ WATER HOOKUP ❑ FfREPLACE RI ❑ INSULATION O SEWER HOOKUP ❑ FIREPLACE FINAL � FINAL 0 PLUMBING FINAL I� GASLINE AIR TST � SITE INSPECTION � MECH FINAI II'_ �_„�,,,� t �,-,.� � � �� COMMENTS: ,� . , . 't... �'' 1-.. .. �..._ � I � � ' S _1 ''s: .±is."'•.� w ' .. , .. „ _ „ 6, w '1 i ! .... . t � �_. .'�y �.:. � t"� „ w � a.; ; Y '""" r . �� �.. � _, � .,..., 4, .� ;� . � ��� ,.� _ ..�' .t .... ' ,�„ �+.�.. � .,. 1 ,7 ..� .,.� . 3 `Q WORK SATISFACTORY, PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORRECT WORK, CAL.� FOR REINSPEGTION BEFORE COVERiNG Inspector. � a� OwneNContr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SriFETY! lNSNOTI � l� O � p � Date Rec'd �, � CITY OF PRIOR LAKE PLUMBING PERMIT N � � °'�N,�SO�* � B�� F� � ERMIT NU /�z /�6 2. Go1d Cay 7 Yellov Appiied teue or t�md at ZONING (u�ae me) ADD$ESS � �� LBGAL DBSCRIPTiON (o�oe,�se onty) LOT BLOCK ADDITION PID ( e � �.� � A �,.Ll,ln� (P�) (�) � ��d,bY�, �l un�b�►�.r, �- I�! �►.�t,r t,�, t�o�� _`1(� � �'�'1 � • z zt�-� �Aaa�) '�� �el � � ` y ( ss) (C�ty tZiP C°de) (Coatact Person) � (Phone) �� � ' ?��J � � � � APPLIGANT SIGNATiJRE l.� DATE I 0• 1�O • I L APPLICAIVT PLEASE COMPLE'I'E BELOW uanN ot Ft�cture of Fizd�re Bath'Ibb with or without shower Rou -ins Dishwasher Water Heater Floor Drain W� sO�� Lavato athroom Sink Stand Pi ashin Machine Laua Tra 1 or 2 com artment sink Sew e E'ector Shower Stall Backflow Assembl S� Backflow Assembl Teat Bar Sink � Lawn S rinkler Water Closet Toilet ��' FEE SCHEDULE Ind�ial, Commaciel & Multi-family I'/o of job cost with a 549.50 miaim�m R�sidea�ial, Nea' One k Trwo-F�aWy 5149.50 Reaidential, Additioffi Bt Altaratiooa S49.50 'Il�e Mlnnesota Stst�rtes $ 326B. t 48 � S Build'vng Pormit # "SURCHARC}E" hes ban cbangcd for onc yesr effeccive PLUMBING PERMIT FEE S�q •5� ' July t, 2010, natiiJune30, 20U. STAZE SURCHARdE $. �•� '• Tbc atplmr�a srrcbarge for a "R:ed fee" permlt • TOTAL PERMIT FEE $_��• SO is,j�, be�feeln� Jrty 1, 201A T6b Application Beooma Yoar Hnlldi�g Permit W6en Apprnved Paid � i/ H] Reaipt No. //n 7� J v y-u Date /4 � $Y B�loa OthLi Date 1A Yonr 0otloe for W ln�pectloa� (9S2) 447�830. �(� 447-4Z4S 4646 Datob 3treet 5.�., Prbr I.�e, Mi�ota SSi72 .. . . , / , � 1 • , . . . i ' �,. ` - . . -•- � • �;� . . . . • , i ��. , • � , � : . •' 1, l , , � _ . . _ \ . . -. • , . , ,_ . . r' '_ ., . , . � , , _