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Home My WebLink AboutPlumbing Permit #12-1466 � a / ✓ CIT'Y OF PRIOR LAKE DATE TIME lNSPECTION NOTICE SCHEDUL.ED �~� ADDRESS � �, Q � c'� � � �� an � OWNER CONTR. PHONE NO. PERMIT NO. (�. — � �� ❑ FOOTING D PLUMBING RI ❑ FOUNDATION ❑ MECH RI � �G�D/FILLING O FRAMtNG ❑ WA7'ER HOOKUP � COMPLAINT [] INSULATION O SEWER HOOKUP � F�REPLACE Rt O FINAL O PLUMBING FINAL � F�REPLACE FINAL ❑ StTE INSPECTION O MECH FINA� � G'4SLIN�E q TST COMMENTS: � � j�r� � `� �e�. � .� _ �, �- � � ° � � < .,.� � ' `� � N � �°T: c.'t� � ----_____ �, '�, � � � °°� �..� � �' � L. � ______.., ��ta_c� t� Ina�;ti�,7it.y - . --- ----_____ ❑ WORK SAT(SFACTORY, PROCEED O CORRECT AC710N AND PROCEED ❑ CORRECT WORK, CqLI, fOR REINSPECTION BEFORE COVERING Inspector: � Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE R EQUIREMENTSARE FOR YOUR PERSONAL g�TH ��FETY.� lNSNOTI � �� l � �� .s�`� �`G �� s� �� v � ��;, R P RI � � ��t . �.� Date Rec d � �t CITY OF PRIOR LAKE PLUMBING PERMIT ~ � �ESO�� 1. Bla Fle -� �. aoid c„ PERMIT NO. � L �� 3. Yellmv Applicam ease or t and ei n at bottom ADDRESS /� --, ZONING �o�;o� �� (�' �� f , � NN W � � LEGAL llESCRIPTION (oB6ce use only) LOT BLOCK ADDITION pID (Na� G�.✓1 \J (l � (Phone) _ � ( ' �O� — �� {Aa.a.�ss> ��j o�� t,✓�� , l� -_ � APPLICAN� / f� J � � (Name) /�/UG,,�n ��/ Ll.&�!�`��...5 l W Pv1 �1��1 �l� {�hone� l ( � � � �� ! °l (Address) �� '1 �� . ��' / V / " t � � n �f s � � � .S ,_, .�� ! ! / (Address} (City) D (Zip Code) (Contact Person) �/ l {�hone) �,� � � �� U `� `-�d� �� APPLICANT SIGNATUR�� - DATE � � C � APPLICANT PLEASE COMPLETE BELOW Quanti T e of Fixture uantit T e of Fixture Bath Tub with or withou# shower Rou h-ins Dishwasher Water Heater Floor Drain Water Softener Lavato Baf.hroom Sink Stand Pi e ashin 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 FEE SCHEDULE Industrial, Commercial & Multi-family 1% of job cost wiih a$49.50 minimum Residendal, New One & TwaFamily $149.50 Residential, Additions & Alterations �49.50 "Che Minnesota Statutes � 326B.]48 ^ $ Buiiding Psrmit # "SURCHARGE" I�as been changed for one �j�� y�ar effective PLIJMBING PERMIT FEE $ / �jU�y �, 201U, u��tif .�une 30, ��i 4 STATE SURCHA.RGE $ The minimum surcharge far a"iixed fee" permit TOTAL PERNIIT FEE $ is ,'�5, beginning d�dy 1, 2Q10 This Application Becomes Your Build9ng Permit When Approved Paid �� Receipt No. � �,� 2 :� Bailding oiticfal Date Date / , /, � /� $y � !� 24 hour noNce for sli inspectioua (952) 447-9850, fax (952) 447-4245 4646 Dakota Street 3.E., Prlor Lake, Minnesota 55372