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W W W X k. 41r .11713Na2 le, �� 00 0 o ix z ❑ ❑ ❑ ❑ vi e o = d d LL f- J j � o Q J LL IQ O Z O z0 W I— �A < �- \�. 2 a v , Fig N zoz ~ z_ W wi Y w ill o IL N - Z HZ ., = < W O p p V V Oa p O u.u.u.= LLin ort 0O 3 ,c�_v a l� `.❑ c N `/fes\ PR/O ° CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd E,/Nei; TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /1 7-1-- I AND UTILITY CONNECTION PERMIT r..,NES_' 1. White File PERMIT NO./.i,.2. Peek City 1� � /�V�/(�� 3.Yellow Applicant l"� (Please type or print and sign at bottom) ADDRESS ZONING(office use) -\L()\ Q ikokty. Tif OA Nt ,r)1(1()\( l,01/410) ,wAN X3- 12 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID (Name)OWNEo)nu e J\\l lU \Y )(AV.. (Phone) ()1 M/Y)D-c�L1C1VJ (Address)- S J C,\OW\c`\ V iCk I \me,. tax, oucp s I No BUILDERr� (Company Name) V `CYC(\ (P,� (Phone) W-✓\ (tf c) ag2= Sha Iv U Ai--L`G N L G 0.'4'pe-icy las. eRiq Date 'd 'C CITY OF PRIOR LAKE PLUMBING PERMIT •. ,=yaw Tersactat I PERMIT NO.titlitk �ar .naltaatl .M)* ,... --_ ._.. . .. ADDRESS t ZONING( •�) . 4'A8t (iva-ke -Trot Ai3 Prior -0- t, �h 5' 37 LEGAL DBSC tON(owe useenlY) LOT BLOCK ADDITION PIP OWNER Mime) Address) *9 ( t!uct erTrnt'i laor . - u 5537 ... (NinnefriAi J\umber 1ne DBI —Imp PIuanbin 1^ ., $:, 59 r �h waren) i 5 t�t 'tree 6 R,0 her . W; Y 2 I___ (Address) (C►t) (AI Code) (Contact Person) t Can e 7 Q-r nn i, • V (Phone) _ .` • g..$.S': APPLICANT SIGNATURE ! J II I , AlAm. . DATE i' _ APPLIG,� 'PLEASE COMPLETE BELOW uanti Type of Fixture Quantity . Typo of Fixture Q.�. Bath Tub with or without showerRou 4n_s,_ Dishwasher Water Heater floor Drain Water Softener j Lavatory_=athroom Sink Stand Pi, washin Machine Laund Tra Ior2sm.arimentsink Sewn:-B actor ► Shower Stall ._ Backflow Assembly t Sinks Backflow Assembly Test Bar Sink ._..�.._ Lawn Sprinkler I ,Water Closet(Told Other 4 The Mttlrititotn.'tint-BS 1• R SCHEDULE 326$.x48' J0 cost a$49.50 minimum Residential,New one& . 2I49.50 , "SURCHARGE"has been extended' . . Residential,Additions& , , .. $49.50 -e - The minimum surcharge for 4, liked foe"permit is$5.00 '-' • Building P rmit# ' -PLUMBING PERMIT FEE $ `' •" �r• STATE SURCHARGE $ 5.00 105.1:F... TOTAL POUT $ .Sy.' (Ma Weedy) • — • This Application Becomes Your Building Permit When Approved Paid Date By BuNdrnu omdsr - Yate -.• . 24 hour notice tar ail insgactions OM 44749850,fasx(952)4474245 4646 Aekota Street S.S.r Prior Tel%Minnesota 55372 • TC # A03(1:165xW$.1-0Z-44 PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS4- 1u -i j� 7-721 ( C-' NATURE OF WORK L-o w x t ? USE OF BUILDING 63" PERMIT NO. /4-- 0.,e6 DATE ISSUED //- CONTRACTOR 1-21-1-47' .7-9-71/4.4_1 9 PHONE (€S" cY? INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES MM. INSPECTOR DATE PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS 1111111.1111111.111111111111 FRAMING (.0 , �j t%./,'P INSULATION ELECTRICAL PLUMBING HEATING ‘t)� E T COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED FINALS BUILDING 4.511. Q.6 51i0j1‘ ELECTRICAL PLUMBING HEATING 5`l Eft? DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be posted near an electrical service cabinet prior to rough-in inspections and maintained until all inspections have been approved. On buildings and additions where no service cabinet is available, card shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447-9850