HomeMy WebLinkAboutPlumbing Permit 14-1292 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ,/2./t /2��
ADDRESS 2-4
OWNER CONTR.
PHONE NO. PERMIT NO. k 7/9.2 "
❑ 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 GA g. .?ST
❑ SITE INSPECTION ❑ MECH FINAL
COMMENTS:
C`0.2-sz_.\D
WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
0 CORRECT ,C L FOR REINSPECTION BEFORE COVERING
Inspector. Owner/Contr.
CALL 44 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
04 PRt0Date Rec'd
4111111:1)1
CITY OF PRIOR LAKE PLUMBING PERMIT
4sikasdo
I.Blue Citt
i.cola City PERMIT NO. /4, '! 14
3.Yellow Applicant 1
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
R 34 Ats+' ?AQi•)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
IOWNERR(Name) Q Oi^ t t C. 0'17 YI Co lit)/(Phone) 15-0 -. 46'Q^Su/2_
(Address) S, .'
APPLICANT fro
Pl/t f(v E t ` o''Y-I S
(Phone)
(Address)
(Address) / (City) (Zip Code)
(Contact Person ' AA ..v A (Phone)
2
APPLICANT SIGNATURE DATE 3
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# The Minnesota Statutes§326B.148
PLUMBING PERMIT FEE $ 1• "SURCHARGE"has been extended
STATE SURCHARGE $ g-oo The minimum surcharge for a
TOTAL PERMIT FEE $ "fixed fee permit is$5.00
(Office Use Only) i
This Application Becomes Your Building Permit When Approved Paid 51 s--0 eceipt No. 13 1
Datet(d tit(, + y
Building Official Date 1 `'t
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
1J