HomeMy WebLinkAboutPlumbing Permit #14-141 CITY OF PRIOR LAKE DATE ri�ee
INSPECTION NOTICE SCHEDULED � �t�
ADDRESS c � � `"� �Q ��� �� �
OWNER CONTR.
PHONE NO. PERMIT NO. ��� +�,
O FOOTING 0 PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
O FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
0 FINAL ❑ PLUMBING FINAL ❑ GAS NE AI TST
❑ SITE INSPECTION ❑ MECH FINAL �( (Jy�,�. ��� �-
COMMENTS:
A �
; !
\
��—WORK SATISFACTORY, PROCEED
❑ CORRECT AC710N AND PROCEED
❑ CORREC O CALL FOR REINSPECTION BEFORE COVERING
/ J' �" ; f�
Ins'ecto�: ` OwneNContr.
�+, --
CAL`C�447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL KEALTH & SAFETY.�
lNSNOTI
�I� 2�(��� , �1� K � � , � � �'� 3 l� � �-
,
� 4 PRIp� . llate Rec'd
H �
CITY 4F PRIOR LAKE PLUMBING PERMIT -.
� �
�r� . . '
,. a�,� Fik PERMIT NO.� ¢ 1¢�
z aord r,ry
7. Yellmr Applkant
lease e or risrt and si at bottom
�D��� ZONING (oftice use)
�1�E1� S��d ���, �r� . �r i ti1 N ��3�2
LEGAL DESCRIPTION (oflicc use flnly) .
LOT BLOCK ADbITION PID '
�" ` l �
�aWNER 'r�Yl L1�1 (Phone} _��JZ �JS�.P� s�5
{Address) ' �Q J � .. �{f� � �e � � 5
APPLICANT Voah Acquistiuns. LLC ` Q� C�
�8ri1g� dba Hcnjamin Franklin Plumbing (Phone) � 1�` �/�� ✓ �� �
la2a 3rci St K
(Add7eSS) Riinnta{xilis. ti1K 55�311
(Address) (City) (Zip Code)
(Contace Person) 0.�N� {,Phone) �Z ��Z" SZq 2-
APPLICANT SIGNATURS DATE l P� �
APPLICANT PLEASE COMPLET� BELOW
uanti T e of Fixtt�re Quanti T e of Fix[vre
Bath Tub with or witheuf slio�ver Rou h-ins
Disl��vasher Water Heafer
Floor Drain Water Softener
Lavato Bathroam Sink Stand Pi e Washin Machine
Laund Tra 1 ar 2 com artment sink Sewa e E'ector
Shower Stail Backflow Assembi
Sinks Backflow Assemb! Test
Bar Sink Lawn S rinkfer
Water Closet Toilet Other
._. ....--._ ....._ _-.---- -- 3�,�'�
The Minnesota Stati�tes �-�"�-- - FEE SCH�DUI,E
§ 3 26$.1'¢8 � � joli cost with a$49.50 minimu�n Residential, New One 8c'hvo-Family $149.50
�� SURCHARGE " has been extendeci �� ttesidenciat Additions & Alterations $49.50
• The �z�in.inn�m surct�aige for a , .
"fixed fee" permit 1s $5,00 $ Building Permit #
- PLUMBING PERMIT FEE $ � �r �
STATE SURCHARGE $ 5 . 00
TOTAL PEKMIT �EE $ .
(Offlce Usa Only) . •
This Application Becomes Your Butlding Permit When Approved Paid�,G 5 ..� Receipt No. •7U �3 Z
7
Butldine Of(fctsl Date Date3 ,!� ��,� By
24 hour notice for all inspectfons (952j 447-9854, fax (952) 44'7-d24S
A646 Dakota Street S.E., Prior Lake, Mlnncsota 55372