HomeMy WebLinkAboutPlumbing Permit #14-107 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ,3 �l
ADDRESS � �jo��� �4�*' CJ« r - ��
OWNER CONTR.
PHONE NO. PERMIT NO. 1� —� 7
O FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL O PLUMBING FINAL �GASL NE AI TST �/
❑ SITE INSPECTION ❑ MECH FINAL �S
COMMENTS:
O S� �
�J WORK SATISFACTORY, PROCEED
/❑ CORRECT ACTION AND PROCEED
❑ CORR C RK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto : OwnedContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.�
/NSNOT/
4 p�o - D�te Rec'd
� � CITY OF PRIOR LAKE PLUMBING PERMIT � . � 2 � , � �
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x � �, PERMIT AtO.
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lease or acd s at botta
ADDRESS ZONIN(i (o�o� u�1
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LBC�AL DESCRIPTION (ot�ca uae only) ,
LOT BLOCK 1►.DDITION pID ;
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Addna� �j �- ` .�r'LV'G ��
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(Nams) � � � l'!�1 /'� � v�C � L�� � /�i h � honE) � � Z - 7 y�c�' �S y�
�A��=s, Pa ��x �o� � ���-�,�r��l�.. s � �� �
c�ad�� c�� cz�p c�a�� �—
(ContnctPerson) � G� l �,f�ii� (Pho�e) �j �_ � ! 7- � 7��
APPLICANT $IC3NATURB . " DATB � �
A�'PLICANT PLEASE COMPLETB BELOW
uaati e of FYzture uantl e o[Ffzture
Bath T1►b with or withaut ahowcr R -ins
Dishwaaher Water Hester
Ftoor Drain Water Softener
Lavato Bathroom Sink Stand Pi e Wsahin Machine
Laund Tra 1 or 2 eom artment aink Sewm e E'ect�
Shower St�tl Backflow Assembl
Sinks Backflow As�embl Tcst
Bar Sink I.awn S rinkter
Water Closet oilet Other
The Minneso� Stat�ites § 326B.1�48 � �Job coss wirh S so � ttesicten�l, New One dt Two-Famt�y 5149
"SURCHARGB" has been extended '' tte���nt�et, �edic�ons �t Aiter�ti� a49 .so
• The minimeun surcharge for a '� l� '�
"f�xed fee" perniEt !s �5.00 S / ��� Building Pe,mit #
� PLUMBING PBRMIT FBB a G ,.� �
STATB SURCHARCrB S 5. OO
TOTAL PERMIT FEE $ ��' ,�_
(oJflcc Use only) • .
Th1s Applieation Becomea Your Building Permlt When Approved Paid �� 5 �'1j Recei o. �d �r,�' ��
Dak .�. �-� l� B y
��iw�a: om�.i n�<< -
� Z4 hour notice for All in:pecdons (!SS) A47A85A, i�uc �S2) �4y-424S
. Ab46 Dakota Strest $.8., Prfor Iaike, Mla�c�oh 55372