HomeMy WebLinkAboutPlumbing Permit #14-193 DATE TIME
CITY OF PRIOR LAKE SCHEDULED �� � -
INSPECTION NOTICE �
ADDRESS � �
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OWNER CONTR.
PHONE NO. PERMIT NO. � `�( ��
O FOOTING O PLUMBING RI ❑ FJUGRADIFILLING
❑ FOUNDATION
❑ MECH RI ❑ COMPUIINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION O SEWER HOOKUP ❑ FIREPIACE FINAL
❑ FINAL O PLUMBING FINAL ❑ GASLINE AIR TST
D SITE INSPECTION ��;�H FINAL ❑
COMMENTS:
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�ARK SATISFACTORY, PROCEED
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❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH dc SAFETY!
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,� � CITY OF PRIOR LAKE PLUMBING PERMIT -.
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7. Cetlmv Applican�
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ADDRE53 ZONING (oflice use)
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LEGAL DESCRIl'TION (oE1'ice use anly) .
LOT BLOCK ADDITION PID '
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APPLICANT SIGNATURE ��" DATE J�
APPLICANT PLEASE COMPLET� B�LOW
uanti T e of I+f�fure uantii T e of Fixture
Bath Tub with or without shower Rou h-ins
Disl��vasher I Water Heater
Ploor Drain Water Softener
Lavato Bathroom Sink Stand Pi e Washin Machine
Laund Tra I or 2 com artment sink Sewa e E'ector
Shower Stall Backf�ow Assembl
Sinks Backflaw Assembl Test
Bar Sink Lawn S rinkler
Water Closet Toifet Other
- ..- --. . .... .. ._ . _ FEE SCH�DULE
The Mi��nesota Srat��res § 32bB ,1'48 job cost with a$49.50 minimu�n ResidentiAl, Ne�v One & Two-Family $149.50
" SURCHARGE " has been extended ��{ Residential, Additions & Alte�ations $49.50 '
� The mi��imum su!•c}�acge for a ' �
"fixed fee" pei•mit }s $S.QO � . � � Building Permit # �
� PLUMBING PERMIT FEE $ � • S�
$TATESURCHARGB $ X�� �.00
TOTAL PERMIT FEE $ Sd-• SC7
(Ofdce Uae Only) • •
This Appfication Becomes Your Bu[tding Perniit When Approved Paid L/� �� Receipt No. � p`
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BuOdine Official DaM Date �//�//�i/ $y � �. a
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24 I�our notice for nll Enspectlons (952) 447-9850,1'ax (9S2j A47-4245 j
A646 Dalcota Street S.E., Prlor Lake, Mlnnesofa 55372 I
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