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Home My WebLink AboutPlumbing Permit #13-0477 � OATE TIME CITY OF PRIOR LAKE INSPECTION NOTlCE SCHEDULEO � � ADDRESS �_� j`i�� V�✓ s t C. J-e` t,�.,_- ��; � 3 ��;J l��J OWNER CONTR. PHONE NO. PERMIT NO. � �" �:� I� � FOOTING � P�UMBING RI ❑ EX/GRAD/FILLING ❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT O FRAMtNG ❑ WATER HOOKUP O FiREPLACE RI 0 INSULATIONI 0 SEWER HOOKUP ❑ FtREPLACE FINAt O FINAL O PLUMBING FINAL ❑ GASLIME AIR 7ST ❑ SITE INSPECTION O MECH FINAL �'�� ,�� COMMENTS: ' .�-- . . � , w_ : � .... . �, ; ._ . , � � � � �.. - C3`WaRKSATiSFACTORY, PROCEED ❑ CORRECT AC710N ANO PROCEED ❑ CORRECT WORK, CALL FOR RElNSPECTION BEFORE COVERING lnspectar: OwnedContr. CALL 447-9850 FOR THE HEXY INSPECTION 24 HOURS !N ADVANCE. CODE REQUIREMENTSARE FOR YOUR PBRSONAL HEALTH & SAFETY.� lNSNOTI o � r RjO� j" / Date Rec'd � � CITY OF PRIOR LAKE PLUMBING PERMIT �•� U 1� ^ � �. B�ue File pERMIT NO. � �7� s. coia c;ty 3. Yellow Applicant lease or ' t and si at bottom ADDRESS � R � O G(otr use) 1 ��' � � �� LEGAL DESCRiPTION (ofFice use only) ' LOT BLOCK ADDITION p� , OWN'ER � t j , �� e� (Phone) �� 1 (Address) �-�- APPLICANT t�h�p1�R �►Iu�k�iAg (Name) (Phone) (Address) �$� "��,9-'� ° �Q (Address) 'r3Q'�Q �d �Q�d (City) (Zip Code) ' Ea�n, MfV 55123 (Contact Person) � � (Phone) APPLICANT SIGNATURE � DA� �' L� w � APPLICANT PLEASE COMPLETE BELOW uanti T e of Fizture uanti T e of Fizture Bath Tub with or without shower Dishwasher Water Heater Floor Drain Water o ener Lavato athroom Sink Stand Pi e ashin 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 FEE SCHEDULE Industrial, Commercial & M•ulti-family 1% of job cost with a$49.50 minimum Residential, New One & Two-Family $149.50 Residential, Additions & Alterations $49.50 The Minnesota Statutes § 326B.148 �st � c� Building Permit # "SURCHARGE" has been changed for one year effective PLUMBING PERMIT FEE $ Ju1y 1, 2010, until June 30, 2011. STATE SURCHARGE $ .50 The minimum surcharge for a" fixed fee" permit TOTAL PERMIT FEE $ �S �5, beginning July 1. 2010 This Application Becomes Your Building Permit When Approved Paid �� Receipt No. �� !� 9�6 6 Date �i� � By ' Buildina Official Date 24 hour notice for all inspections (952) 447-9850, faz (952) 447-4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 �� O � PRjO�, Date Rec'd � � CITY OF PRIOR LAKE PLUMBING PERMIT � � � `. B,°e F,�e pERMIT NO. �_ �77 z. Gaa c;ry 3. Yellow Applicant lease e or rint and si at bottom ADDRESS � O G (office use) I ��t�- U� � � �n� LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION p� OWNER t , ('� (Name) (Phone) � " "1 � � �� (Address) �-- APPLICANT ��A ��p��i� (Name) �r+ nnn,�ne (Phone) (Address) �S �'��-"�.� (Address) 3670 Dodd Road (City) (Zip Code) (Contact Person) � � ��n� M� 55123 �phone) APPLICANT SIGNATURE �� DATE �-�g_� APPLICANT PLEASE COMPLETE BELOW Quanti T e of Fixture Quanti T e of Fizture Bath Tub with or without shower Dishwasher Water Heater Floor Drain Water o ener Lavato Batlu�oom Sink Stand Pi e Washin Machine Laund 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 The Minnesota Statutes § 326B14 �st �� Building Permit # "SURCHARGE" has been changed for one pLUMBING PERMIT FEE $ year effective du►y l, 20YU unt�� une 30 2011• STATE SURCHARGE $ .50 7'he minimum surcharge f'or a "fixed fee" permit TOTAL PERMIT FEE $ �S $g, beginning Ju1y 1, 2010 This Application Becomes Your Building Permit When Approved Paid ��/ �� Receipt No. i �� 6 /� `�� l0 d Date � j� / By ' Buildine Official Date 24 hour norice for all inspections (952) 447-9850, fax (952) 447-4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 �� \ � Ay� ..:_'1' � . . l .: � . 6"' k ,,e� a -. l :: � j .y ::, � . _ .. .. - .-. .. . . . . .� , .. . . .'f' .