HomeMy WebLinkAboutPlumbing Permit 14-1382 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 2//61/‹.--
ADDRESS (3T75D. W 1�6).„5 L VI
OWNER CONTR.
PHONE NO. PERMIT NO. I H --13S-2._
❑ 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 ❑r MECH FINAL ❑
COMMENTS: coa�- es �r
c {oe . -t1<
it WORK SATISFACTORY,PROCEED
/❑ CORRECT ACT •N AND PROCEED
❑ CORR K,CALL FOR REINSPECTION BEFORE COVERING
Inspecto -/ Owner/Contr.
CALL 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
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0 Q pR7p4 Date Rer.'cl
CITY OF PRIOR LAKE PLUMBING PERMIT -.
I g
I.Lt, File PERMIT NO
3.Yell City NO./v/.. /�j'-
3.Yellow Applicant �-77 /6 a.G
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
* U6 C)S Lh \ A
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
•OWNER c,
(Name) �0 Inn+lr i( ='�r S O (Phone) �.[� 1 a _a D I-6(,`j s
(Address) S\\--€
APPLICANT
Noah Acquistions.LLC (Phone)
(Name) dba'Dcnjamfn Franklin Plumbing —
1424 3rd St K
(Address) Minneapolis.MK 55 t i f —
(Address) (City) (Zip Code)
(Contact Person) j e Yl l ( 0 G` (Phone) Col ), - g\- o-9--/- Cj
O
APPLICANT SIGNATURE ,a>ilI O`/ DATE 1 1 / (7 /I c/ —
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Ro -'
Dishwasher t atHeater
Floor Drain W-aTer 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
The Minnesota Statutes 326B.148 j j FEE SCHEDULE
§ ob cost with a$49.50 minimum Residential,New One&Two-Family $149.50
"SURCHARGE"has been extended ' Residential,Additions&Alterations $49.50
The minimum surcharge for a
"fixed fee"permit is$5.00 Building Permit#
-PLUMBING PERMIT FEE $ CI q • 50
STATE SURCHARGE $ XXX 5.00
TOTAL PERMIT FEE $ `{ . S 0
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid 514,
cu Recei No.3 23
Date , By
Buntline Official Date ��, ,(y/ �,
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.R.,Prior Lake,Minnesota 55372