HomeMy WebLinkAboutPlumbing Permit #14-52 DATE TIME
CITY OF PRIOR LAKE SCHEDULED 3�
INSPECTION NOTICE —'--
ADDRESS
1 � �- � C� � t�-� �-� �
OWNER CONTR.
PHONE NO. PERMIT NO. ��'°' ��' —
p PLUMBING RI ❑ EX/GRAD/FILLING
p FOOTING p MECH RI ❑ COMPLAINT
❑ FOUNDATION ❑ FIREPLACE RI
p FRAMING � WATER HOOKUP
❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ INSULATION ❑ GASLINE AIR TST
O FINAL �., ❑�LUMBING FINAL ❑
❑ SITE INSPECTION ���IECH FINAL
/
COMMENTS:
�
' � ��
`�RK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORREC7 WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr.
CALL 447-9850 FOR THE NEXT' I�:: QECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTI
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04 p �. p � Date Rec'd
�, CITY OF PRIOR LAKE PLUMBING PERMIT � Z? (�
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�_` I. Blue File
Z. �o,d �;, PERMIT NO. � ��
3. Yellow Applicant (
lease or ' t and si at bottom
ADD�E� � ZONIl�iG co�a ��
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LEGAL DESCRIPTION (oflf'ice use only)
LOT BLOCK ADDITION PID
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(Address) � �����
APPLICANT Chltmplon �I�mbing
(Name) (Phone)
(Address) 651-365-1340
(Address) �70 ppdd RoBd (Ciry) (Zip Code)
(Conta.ct Person) Eet$Et�1 N 55123 ^ �one)
APPLICANT SIGNATURE DATE � � ` � �
APPLICANT PLEASE COMPLETE BELOW
uanti T e of Fizture uanti T e of Fixture
Bath Tub with or without shower
Dishwasher Water Hea
Floor Drain Water Softener
Lavato Bathroom Sink Stand Pi e Washin Machine
Laun Tra 1 or 2 com artment sink Sewa e E'ector
Shower Stall Backflow Assembl
Sinks Backflow Assembl Test
Bar Sink Lawn S rinkler
Water Closet Toilet Other
FEESCHEDULE
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
The Minnesota Statutes § 326B.148 $ C� .�J Building Permit #
"SURCHARGE" has been extended
The minimum surcharge for a 'LUMBING PERMIT FEE $ �. ` �
"fixed fee° permit is $5.0� �TATE SURCHARGE $ S,�':3A
,OTAL PERMIT FEE $ S ��—
This Application Becomes Your Building Permit When Approved Paid ��� R pt No �y �
!
Date � �1r
Buildiae Ofticial Date [' Z " C"�
24 hour notice for ail inspections (952) 447-9850, faa (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372 p� (�
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