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HomeMy WebLinkAboutPlumbing Permit 14.041 (2) O* RR ° Date Rec'd A CITY OF PRIOR LAKE PLUMBING PERMIT / /7. / 4 - v ►),. 1. Blue File PERMIT NO . 2. Y Airy /� 4.--/ 3. Yellow Applicant ase o lipt and Sign at bottom) ADDRESS 2 r-3 �� i 8--- ZONING (office use) / LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) APPLICAN ,/ �p� ' ', ' "" i , � ..5 4t()t?JJ (Phone) .9.,Acl. - -s) 5 L ti 2 - 6 44 It - 19 le___, 0 53" 4/18 (Address) (C (Zip Code) a; ,, -. R0)) dX�'//1 (Phone) tYJ) (6 0 i7 9-r ...-- :m SIGN-MR§ __L14 h6- ATE / / 1 -1 q APPLICANT PLEASE COMPLETE B Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower _ Rough -ins Dishwasher Water Heater Floor Drain 1 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 & Two - Family $149.50 Residential, Additions & Alterations $49.50 Estimated Cost $ Building Permit # PLUMBING PERMIT FEE $ '¥ 9 -1P STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ 4y Sb (Office Use Only) This Application Becomes Your Building Permit When Approved Paid s _ - it ipt No. - 0 92111 I111 Boildin2 Official Date Date / ` �] 4 ( im 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 i 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 ? ilikLiti CONTR. PHONE NO. PERMIT NO. 13— 52 ❑ FOOTING L PLUMBING RI ❑ EX/GRAD/FILLING ❑ FOUNDATION ❑ MECH RI \ ❑ FRAMING ❑ WATER HOOKUP ❑ COMPLAINT ❑ FIREPLACE RI ❑ INSULATION ❑ SEWER HOOKUP INAL ❑ FIREPLACE FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST ❑ SITE INSPECTION MECH FINAL ❑ COMMENTS: t- e tfty pJ z, r /� Al 2/4 ‘ ❑ WORK SATISFACTORY, PROCEED CORRECT ACTION AND PROCEED ❑ CORRECT IQ r - C LL FOR REINSPECTION BEFORE COVERING Inspector. - -�••...° er /Contr CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! won « & ate© © � «. .._ «� � 'I'''...a.....