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Plumbing Permit 10. 0267
0 a \\ w z +zw 5 ..\ N c w to z t °� s5i z L, w c�awwcn x a c �, � id Uu.u.t7 al 110-_,I E ? oo ©[]CIO „ / re re o !� u. �" a w '� O a a M►•. m c O K F 3 0u J . - O U 0 ur N.1 X IX Z 0 u3 0 a. tfl s Wcc ta S t a. g z t � j U 0 0 Z O fl Lt) a� u) W LLI w a w 0 0 d[7 CI CIC�❑ Lill ° a a. I LU c-os riAci P241 i n a ct ww f2 , _4411/ re z u w O O us x O '. z u N U a of �2 z �.. O 0 _� a 3 w i-- t- F- R t= O �. a � +� � p N z Z LU in U � i i 4 Ow a w Z la OOaC 2 M 0 0 0 S v U [11.) 0 0 I. u. u, ? u, VJ p 0 0 1, U ? a O a 0 CI CI CI O CI 0 CI 0 CI c O{ PR* Date Recd 1 CITY OF PRIOR LAKE PLUMBING PERMIT ES° I. Blue File [PERMIT NO. I d V ��7 2- cola city L v 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) (C12R" w1 lloww004 c LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID ' OWNER e) Q""coNve_s K 1 � (Phone) ` �T SEC O (P (Address) ( L 0 J 2- 0,-) ( 1 °w ;CD o S i f P rI mac Lk Ss :3 7> APPLICANT (Name) ADAM'S ON -TIME PLUMBING & WATER HEATERS, LLC (Phone) _ 612- 205- 6060(plumber) (Address) _13791 JONQUIL LANE N. DAYTON, MN 55327 (Address) (City) (Zip Code) (Contact Person) PATTI KAMRATH (office) (Phone) 612 - 791 -4002 , £ h APPLICANT SIGNATURE 1 ■ �'� 1 ■ a. DATE APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity T • e of Fixture Bath Tub with or without shower Rough - ins Dishwasher J Water Heater Floor Drain Water Softener Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) Laundry Tray (1 or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler Water Closet (Toilet) Other FEE SCHEDULE Industrial, Commercial & Multi- family 1% of job cost with a $49.50 minimum Residential, New One o 1_ 4_ 9 50 0 esidential, Additions & Alterations ' 4 Estimated Cost $ O 0 0 Building Permit # PLUMBING PERMIT FEE $ 4 l SD STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ , U 0 (Office Use Only) This Application Becomes Your Building Permit When Approved Paid5 v Rece N0 / . ( v B Building Official Date Date '"`�� 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 I . 'Rip v. o 0 ni Friday, April 12, 2013 Current Resident 16832 Willowwood Circle Prior Lake, Minnesota 55372 Re: Building Permit Number 10 -0267. We requestyourhelp. In review of the building permit files, it was discovered there is an open permit for a water heater at the above address. Please call by Monday, April 29, 2013 to set up an inspection. If there has been no contact from you by this date, the City will deem the permit abandoned and invalid. (per State Building Code R105.3.2) This permit abandonment will be recorded in the permanent public record for this address. Any new work relative to this building permit will require a new permit along with new permit fees. Please call the Building Department at 952 -447 -9850 to schedule your inspection date. Thank you for your cooperation, Sincerely, Building and Inspections Department City of Prior Lake