HomeMy WebLinkAboutPlumbing Permit 14-1356 CITY OF PRIOR LAKE DATE TIME
INSPECTION NOTICE SCHEDULED
CO-Cep
ADDRESS 3854. i1•
OWNER CONTR.
PHONE NO. PERMIT NO. )Z .,(.3c°
❑ FOOTING 0 PLUMBING RI
❑ EX/GRAD/FILLING AD
/FIL
LING❑ FOUNDATION 0 MECH RI COMPLAINT❑ FRAMING
0 INSULATI ON ❑ WATER HOOKUP ❑ FIREPLACE RI
0 SEWER
pr--FINAL HOOKUP ❑ FIREPLACE FINAL
0 PLUMBING FINAL
❑ GAS
LI
NE AIR TST❑ SITE INSPECTION 0 MECH FINAL
COMMENTS: 1.0
i k, 0 o # ,
a • ...4_ T 2G2, .4 c`s , '05 C`-cc.c, i Cr-
0 WORK SATISFACTORY,PROCEED
CORREC CTION AND PROCEED
0 CORRE ',RK,CALL FOR REINSPECTION BEFORE COVERING
i
Inspector i. Owner/Contr.. • ;50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
h
O ?Rib Date Rec'd
41
N
CITY OF PRIOR LAKE PLUMBING PERMIT
v
rsoce
I. Blue File (3�
2.Gold City PERMIT NO. I+,
3.Yellow Applicant(Please type or
print and sign at bottom)
ADDRESS ZONING;office use)
3gs(,0 PaO-RIsS
LEGAL DESCRIP N(office use only)
LOT BLOCK ADDITION PB)
OWNER /��
(Name) (Phone) "Na 4)
(Address)./
APPLICANT
(Name) (Phone)
41-' nce Connections Inc.
(Address) 1i850 Chestnut Blvd.
Sloakspee, MN 55379 (City) (Zip Code)
-952-44 803
P
(Contact Person)ma LOA* ._ _ y.1 (Phone)
APPLICANT S for ATURE _WANE;, : / DATE 1,21q1
APPLICANT PLEASE 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 $ L�
STATE SURCHARGE $ gf1"
TOTAL PERMIT FEE $
(Office Use Only) — 'W
This Application Becomes Your Building Permit When Approved Paid s*
✓ Re ipt No. ./U2-
Dai,, i
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