HomeMy WebLinkAboutPlumbing Permit #13-1063 i
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CITY OF PRiOR LAKE gCHEDIfLE� �/���,��,�
INSPEC710N NOTICE "--
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PHONE NO. PERMIT NO. ��"=--�
p PLUMBING RI ❑ EXlGRADfFILLiNG
O FOOTING ❑ MECH RI ❑ COMPLA�NT
❑ FOUNDATION O FIREPLACE Ri
❑ FRAMtNG ❑ WATER HOOKUP
O SEWER HOOKUP ❑ FIREPI.ACE FINAL
f� INSULA710N ❑ GASLINE AIR TST �,
O FINAL ❑ PLUMBING FtNAL ��������5�
❑ SITE INSPECTION O MECH FINAL � ��i,�
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❑ WORK SATISFACTORY, PROCEED
� ORRECT AC710N AND PROCEED
❑ CORRECT WORK, C L FO RElNSPEC710N BEFORE COVERING
Inspector: � OwnedContr:
� 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR XOUR PERSONAL HEALTH 6c SAFETY!
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,� � CITY OF PRIOR LAKE PLUMBING PERMIT
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L Biue File � '/D ' 1
z. co�a c� PERMIT NO. ��
l. Yellow Applicant f'J`J
ease or ' t and ' at bottom
ADDRESS ZONING �ot�ce,�>
3 7� b ��°�nt�. -�asS N� ss 3 �
LEGAL DESCRIPTION (office use onty)
LOT BLOCK ADDITION PID
OWNER ^ , , \
(Name) PG � w� � r� � W Q A�-✓ (Phone) q s a-� S g- 8 9 a�
(Address)
APPLICANT �:�LLIGAN WATER CONDITIONING
(Name) (Phone)
(Address) �I1INNETONKA, MN 55345
(Addr (City) (Zip Code)
(Contact Person) (Phone)
APPLICANT SIGNATURE DATE 9- � a-� 3
APPLICANT PLEASE COMPLETE BELOW
uanti T e of Fixture uanti T e of Fizture
Bath Tub with or without shower Rou h-ins
Dishwasher Water Heater
Floor Drain � Water Softener
Lavato Bathroom Sink Stand Pi e Washin 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
Industriai, Commercial & Multi-family i% of job cost with a$49.50 minimura Residential, New One & Two-Family $149.50
Residenrial, Additions & Alterations $49.50
The Minnesota Statutes § 326B.148
"SURCHARGE" has been extended �t $ 070 u• 0 O Building Permit #
The minimum surcharge for a pLUMBING PERMIT FEE $
"fixed fee" permit is $5.00 STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ s`� . S C�
�o��e u� oo�y�
This Application Becomes Your Building Permit When Approved Paid '�r—� � Receipt N O �
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Date fy/ By
Bp�ldins Ofticisl Date �
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Mianesota 553�2
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