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HomeMy WebLinkAboutPlumbing Permit 15-0166 DATE TIME CITY OF PRIOR LAKE SCHEDULED 2.44L- i INSPECTION NOTICE ADDRESS J 4-11`t I L3` \lt S ctzt,t, , , 1 OWNER CONTR. PHONE NO. PERMIT NO. _)"� "j' L` u ❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING ❑ FOUNDATION 0 MECH RI 0 COMPLAINT II ❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI ❑ INSULATION 0 SEWER HOOKUP P 0 FIREPLACE FINAL 1 ❑ FINAL 0 PLUMBING FINAL 0 GAS INE AIR ❑ SITE INSPECTION 0 MECH FINAL Xi- COMMENTS: Clc4 e -1V"i2Vv WORK SATISFACTORY,PROCEED • CORRECT ACTION AND PROCEED ❑ CORR- ORK,CALL FOR REINSPECTION BEFORE COVERING Inspe • iip Owner/Contr. C. I7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY! liallon 15P•409 1 11 04 VR/04 Date Recd ,� 0CITY OF PRIOR LAKE PLUMBING PERMIT 44",0I.0 2.Boo lue city PERMIT NO. / i_.3.Yellow Applicant /� /U7 Le (Please type or print and sign at bottom) ADDRESS ZONING(office use) /4 Ph 01I0(5 J -)-h prior 1U - LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER n (Name) 1= n L.."A_ : c, (Phone) '7C3' CI-L+1 -31 `tit (Address) APPLICANT (Name) i_1/---(... /1/'`L15 0'`1 (Phone) 1 Zvi 3 --407-F97 S (Address) t a 1.t © 1 Cl- ,4- (.C. -‘://<- g; c533 C5 (Address) (City) (Zip Code) (Contact Person) (Phone) .� r APPLICANT,' NA ilIj.� •A ac Pr f APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture . Bath Tub with or without shower Rough-ins Dishwasher 1 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 The Minnesota Statutes§326B.148 $ Building Permit# "SURCHARGE"has been extended PLUMBING PERMIT FEE $ liq CV The minimum surcharge for a STATE SURCHARGE $ • el "fixed fee"permit is$5.00 TOTAL PERMIT FEE $ r A This Application Becomes Your Building Permit When Approved Paid ism eipt No.1 Date 3,( ,(s- p y Buildins Official Date A • 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 • 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372