HomeMy WebLinkAboutWater Heater/Softner 13.1302 DATE TIRIE
INSPECTION TION NOTICE PRIOR LAKE SCHEDULED (2J (IY
INSPC
ADDRESS I /U ' u to My Q . i— ,
OWNER CONTR.
PHONE NO. PERMIT NO. /3 — /20(
l 3 - l dEXGRADIFIWNG
o .FOOTING a PLUMBING RI �
O FOUNDATION 0 MECH RI 0 0 COMPLAINT RI
O FRAMING 0 WATER HOOKUP
O INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
O FINAL PLUMBING FINAL 0 DASUNE AIR TST
O SITE INSPECTION ,MECH FINAL
COMMENTS: e , 2 0 4 , - � f"V j w s r ' 4 � v A l p ..
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. rIuig6.4_. 1" ! 4 Cr ip elf 0a1
2,, \1n. -oR0 , r 4t 41-4"-+
(' LSD. ..i;
0 WORK SATISFACTORY, PROCEED
)2[CORRECT ACTION AND PROCEED
0 CORRE RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. OwnenlContr.
CALL 44 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH A SAFETY'
imam
f P Rlp
H Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
►Tres*
1= pFI*% PERMIT NO.
3. Yellow Applicnl /�
(Please type or print and slim at bottom)
ADDRESS �`1 a30 Sv�nv0. COY SW ZONING (office )
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER �v\v \ko` �pw�l; S
(Name) (Phone) SO" 1- 3Q$ - l.
(Address) a Cfl a to $a`^d St E , \ooro: i ,3kor, r'n SoyaS
APPLICANT
(Name) TOE" -c \N .CtiaJ.n.∎ C eat , (Phone) SO`1- aTS% - \
(Address) 434-\\\ `1'e^ CZac1nc_' r 'nl'(1
590
(Address) (City) (Zip Code)
(Contact Person) J\J...L L C014 CLAA- Q _ (Phone) S0.OMQ
APPLICANT SIGNATURE i j 1 ' UJl41L )( DATE
APPLICANT PLEASE COMPLETE B ELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough -ins
Dishwasher 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
PEE SCHEDULE
Industrial, Commercial & Multi- family 1% of job cost with a 849.50 minimum Residential, New One & Two-Family
Residential, Additions & Alterations 9.
The Minnesota Statutes ¢ 326B.145 Est $ Building Permit #
"SURCHARGE" has been changed for one
year effective PLUMBING PERMIT FEE $ Mc' ,50
.filly 1, 2010, until June 30, 2011. STATE SURCHARGE $ 5. _SA'
The minimum surcharge fora "fixed fee" permit TOTAL PERMIT FEE $ 5‘4.. G°
Is LS, beginning July I, 2010
This Application Becomes Your Building Permit When Approved Paid — �I Receipt No. z --
JU
Date fl//7 /1 1 By
B.;wiae Official mare
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372