HomeMy WebLinkAboutPlumbing Permit 16-149 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED -3 `` `t )k-t
ADDRESS / / Er 7 3 P'y 7-4
OWNER CONTR.
PHONE NO. PERMIT NO. \ (.1=.- \ `3\\
❑ FOOTING 0 PLUMBING RI 0 E)UGRAD/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 Y0ASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL
COMMENTS: `h 2 k\-44r
� y .k c, -C\ �— --
ORK SATISFACTORY,PROCEED
O 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!
WSNOTI
. PRI0 Date Rev'd
A
CITY OF PRIOR LAKE PLUMBING PERMIT
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4INNESO'
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I. Blue File
. GoldAPERMIT NO.
/f_ /1,1?
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
I413 Pixie. Po►n* cif-cit. SE
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER '
(Name) A If-cki ToscLhet- (Phone) 9 'ALIO -,2915
(Address) 14813 PiXie PO`lflt C►rc. t St
APPLICANT
(Name) ('.harvlpIon piuWlbi (19 (Phone) Gbi'3(06- 13y0
(Address) "(0.-1O Dc'idd 12,el Eagan , PIN) x51 a 3
(Address) (City) (Zip Code)
(Contact Person) 'f0•rui In I R Cb GCC (Phone)
APPLICANT SIGNATURE ••� Jaitel.,-• DATE n'Z,'3i i G
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
ost $ 4i00 Building Permit#
The Minnesota Statutes ti 326B.148
"SURGE-LARGE"has been changed for one PLUMBING PERMIT FEE $ 60„Q(g
year effective
July 1.2010,until June 30,2011. STATE SURCHARGE $ .50
The minimum surcharge for a"fixed fee"permit TOTAL PERMIT FEE $ cj0 .. tO
is 35,beginning July 1,2010
This Application Becomes Your Building Permit When Approved Paid ) 6 Receipt No.4
2.
Date )._-2xt / ., By /a/„...7...ff
Buildin?Official Date
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
•
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372