HomeMy WebLinkAboutPlumbing Permit 15-0048 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 43/51
ADDRESS SCJ a(a 0060.arG/4)9._ BT J
OWNER CONTR. ¢ 1
PHONE NO. PERMIT NO. is- 416
❑ 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 GAS INE AT TST
❑ SITE INSPECTION 0 MECH FINAL $ Wat -f4 r
COMMENTS:
cc&5.2, 1\--(` Vz .e_
WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORR 0111 ,, K,CALL FOR REINSPECTION BEFORE COVERING
Inspector. 111 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
I S 2L 119-1
4 rho Date Ree'd
CITY OF PRIOR LAKE PLUMBING PERMIT
tiffdf�s�r _
`'B`"` �' PERMIT NO. /� 10
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(Please type or print and sign at bottom) •
3.Yellow Applicant
ADDRESS ZONING(office use)
2( CCC-(1.r'wodCd
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
aOme IA c. 1 �1 r D� lima)` (Phone) I Ci +c4""S9 '7
(Address) SCI Z Q C(d.aru000C1 s-t-
APPLICANT
�z (Phone) Iv L 7 CO Vat ' �/ t r� 7
(Address) 2.2-00 l� RL) \I v�-1 1_.J B nsv j 1
( ddress) (City) (Zip Code)
(Contact Person) Ai li ` `� 1-� �Y
v (Phone) � � 1/0
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APPLICANT SIGNATURB CABDATE 49.1r s _
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
FE SCHDULE
The Minnesota Statutes§32611-44. f job cost with$49.50 minimum Residential,New One&Two-Family $149.50
" HRGE"hs V Residential,Additions&Alterations $49.50
The mAinimum surcharge for aextended
"fixed fee"permit is 5 00 $ Building Permit#
`S
.PLUMBING PERMIT FEE $
STATE SURCHARGE $ XXX 5.00
TOTAL PERMIT FEE $ SY.Sc)
(Office Use Only) .011
V
This Application Becomes Your Building Permit When Approved Paid /1=Il�' JI No. S 4
Date By 'r
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