HomeMy WebLinkAboutPlumbing Permit #13-461 CITY OF PRIOR LAKE o�r riME
INSPECTION NOTICE SCHEDULED � y
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PHONE NO. PERMIT NO. {�,{� O
O FOOTING ❑ PLUMBING RI ❑ FJ(/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
O FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
O FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION �jy�ECH FINAI ❑
COMMENTS:
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IORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORREC WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspedor. OwneNContr:
CALL 447-9850 FOR THE N�XT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL KEALTH dc SAFETYI
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��� `� � CITY OF PRIOR LAKE PLUMBING PERMIT
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LEGAL DESCRIPTION (office use only)
L(JT BLOCK ADDITION PID
U � � � J � � 1 � (Phone) � I 1 ` 1 � � O �� �
ame
(Address) � 3�-� ��r; �� l 5� S�
� PLICANT � n� _ � � {Phone) �j �� l l,P / ` 1 �V
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(Address)� �� V � �11.� � � � , (' L, �� � �J
Address) (City) (Zzp Code)
(Contact Person) r\�- l r i (Phone}
APPLICANT SIGNATURE DATE J��-c I�
APPLICANT PLEASE COMPLETE BELOW
Quanti T e of Fixture uantit T e of Fixiure
Bath Tub with or without shower Rou h-ins
Dishwasher Water Heater
Floor Drain Water Softener
� Lavato Bathroom Sink � Stand Pi e ashin Machine
Laund 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 cosi with a$49.50 minimurn Residential, New One & Two-Family 149.50
Residential, Additions & Alterations ' 9.50
Thc Minnesota 3tatutes � 326f3.1dA ��st $ $uilding Permit #
"SLI[�CI-InRGF," has been changed For onc �� S Q
year et�'ective PLUNIBING PERMIT FEE $
�i,��s' i, 20i0. e�ntil.7une 3t�, Lo�;, STATE SURCHA.RGE $ U 6 50
'i'he minimum sarchnrge 1'nr x "tixed fcc" permit TOTAL PERMIT FEE $ S�-�.��
is Ne�inaingdufy 1, 2010
Thls Application Becomes Your Building Permit When Approved Paid ���-��, Receipt No. / �/� ,/
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Date � /��/��, By ,�' �
BuildFns Offlcial Date , ,c-
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24 hour noNce for all inspections (952) 447-9856, fax (952) 447-4245
4646 Dakata Street S.E., Prior Lake, Mlnnesota SS372