HomeMy WebLinkAboutPlumbing Permit 15-1344 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 3
ADDRESS ' Sy3 r) 0 Fs h 1274 R4
OWNER CONTR.
PHONE NO. PERMIT NO. j 3 9
❑ 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 GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL
COMMENTS: ti 13
i� - ' a C_ -e--
05-"WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INS/iCTI
I gOt
sg�� PRIG � t!/
4:,s,AN .cCITY OF PRIOR LAKE PLUMBING PERMIT Date Rec'd
U
kArEso
' .'--?.,_ Y
2Bl�d �y PERMIT NO./�
'lease tA�a or rint and Sl at bottom) 3. Yellow Applicant
, i
ADDRESS _
1 5 /—O -rsk Po I' ce ZONING(office use)
iIS.a
LEGAL DESCRIPTION(office use only)
21 '4-2-0
LOT62C BLOCK DD N , { kr' /� � J Q'Q!►i d
)1;. ,i1 /....4-_. L PID ' 50.3 _(Q
(Jop 00
O(Name) K.'1.ir)A- 4 I�-I�'1�' `�' S�!( �-1t`'_t G' _ (�
(Address) 15 36O IskPO 1 ru- MON( LCL 11U
APPLICANT
(Name) e nZ Rs- L I-) '-- /
(Phone) �; -7(� 7' (Coo
(Address) a ` 3 ) r
5337(Address) J
(City) (Zip Code)
(Contact Person) } a.n n
(Phone)
APPLICANT SIGNATURE C., _
DATE (o—9d_- I S
APPLICANT PLEASE COMPLETE BELOW
Quanti T •e of Fixture
Bath Tub with or without shower Quanti T e of Fixture
Dishwasher Roush-ins
1111111111111
Floor Drain Water Heater
Lavatory(Bathroom Sink) Water Softener
Laund Tra (1 or 2 com•artment sink Stand Pi•e(Washin. Machine)
Shower Stall Sewa:e Ejector
EZIIIIIIIIIIIIIIIIIIIIIIIIIE
Backflow Assembly
Bar Sink Backflow Assembl Test
REEMEMEIMIIIIIIIImm
Water Closet(Toilet)
Other
FIndustrial,Commercial&Multi-family 1%of job cost with a$49.50 minimum
ULE
Residential,New One&Two-Family $149.50
Residential,Additions&Alterations $49.50
Estimated Cost $ Building Permit#
PLUMBING PERMIT FEE $ 44, Sp
STATE SURCHARGE $ $1.00
(Office Use Only) TOTAL PERMIT FEE $_______5_0L5
This Application Becomes Your Building Permit When Approved Paid •� '•
O Receipt No. Aro
Building Official Date By Aidill
Date n ��
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372