HomeMy WebLinkAboutPlumbing Permit 14-1357 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE TICE
SCHEDULED 12 01
ADDRESS J 17/ Deer 'ut-t41 ct Y
OWNER CONTR.
PHONE NO. PERMIT NO. i t( . sl
l I�
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL
COMMENTS:
a - - Ci-erg- •
J6(CORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECTJWORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector: 1/ !OROwner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
it0C)
%RI(� Date Rec'd
ti
CITY OF PRIOR LAKE PLUMBING PERMIT
v
`l'11VNEsol° '.B`�` F'` PERMIT NO. /::3--
3
2.Yell App ¢
.Yellow Applicant
(Please type or print and sign at bottom)
ADE6 / � 61(-
ZONING�office use)
Per-P.elei
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
(Name)OWNER / I/ , 1 / • (A n d (Phone) [`�O3 '�U U 441-�
(Address) Qj m e-
APPLICANT
(Name) Ap,t rake Connections Inc. (Phone)
12850 Chestnut Blvd.
(Address) hakopee,MN 55379
(Ad452)445-480 (City) (Zip Code)
(Contact Person 01 fl i W."' • (Phone)
APPLICANT SIGNATURE _____P 'YLtf dI_ l DATE l 4 / 7
APPLICANT PLEA COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softener
Lavatory(Bathroom Sink) Stand Pipe(Washing Machine)
Laundry Tray(1 or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet(Toilet) Other
FEE SCHEDULE
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
Estimated Cost $ Building Permit#
PLUMBING PERMIT FEE $ n
i I
STATE SURCHARGE $ _
TOTAL PERMIT FEE $ '
(Office Use Only) 104 ,
This Application Becomes Your Building Permit When Approved Pai I S 1 . IFF eipt No.�,
Date i L " • 1 ��y
Building Official Date
24 hour notice for all inspections(952)447-9850,fax(952)447-4245 •
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372