HomeMy WebLinkAboutPlumbing Permit #08-0002 � . -�i�rr
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Monday, September 16, 2013
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Re: Building Permit Number 0:y . We request yourhelp
In review of the building permit files, it was discovered there is an open permit for
at the above address. Please call by Monday, September 30, 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 type building permit will require a new permit along
with new permit fees.
Please call the Building Department at 952-447-9850 to schedule your insp�ction
date.
Thank you for your cooperation,
Sincerely,
Building and Inspections Department .
City of Prior Lake
o F pR�o Date Rec'd
� � CITY OF PRIOR LAKE PLUMBING PERMIT �¢, v�
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�. B�� F��° pERMIT NO. �►
z. coia c�ry 0 O D
3. Yellow Applicant
lease e or ' t and si at bottom
ADDRESS ZONI'NG cat� ��
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LEGAL DESCRIPTION (ofl'ice use onty)
LOT BLOCK ADDITION PID
(Nam ) ��1�1 �( � (Phone) �-�C � ` " ?� �
�Aaaress� � 1 � S�l � • � ��� �--
(Name) AN �� • (Phone) �-f �-1 V ' � / L /
(Address) V �- V/ � � � �
(Address) (City) (Zip Code)
(Contact Person) Y l t (Phone) ���� 2'� �
APPLICANT SIGNATURE DATE f �
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater /�
Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) _
Laundry Tray (1 or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Back ow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a$39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $ Building Permit #
PLUMBING PERMIT FEE $ �� •� �
STATE SURCHARGE $ .5�
TOTAL PERMIT FEE $
(Of}ice Use Only)
This Applic�tion Becomes Your Building Permit When Approved Paid �, � Recei t o.�, ��'
� Date ¢ �� By
Building Official Date �•
24 hour notice for all inspectlons (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
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