HomeMy WebLinkAboutPlumbing Permit 15-1475 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED /o Z 4%
121'1 06.4.4‘a ADDRESS L ��r: :.-�.��� GV`
OWNER CONTR.
PHONE NO. PERMIT NO. —
❑ 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 0 MECH FINAL ❑
COMMENTS: W 4 ,
vi, Lodtieih_i ht,r-
, tp(2,14,7,177 .440,20.44 +.0 bce.)
WORK SATISFACTORY,PROCEED
❑ CORRECT TION AND PROCEED
❑ CORRE CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
WSNOTI
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7/ 1 -741 a ?& eh A . i,,.
Date Recd
().A(1,Rio,
,,,� e CITY OF PRIOR LAKEPLUMBING PERMIT
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INNESe I.Blue File PERMITNO. �/[J/"/��
. Geld City >// / / ��
3. Yellow Applicant [/5
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
iiai chrtut000d Ln NE dab
LEGAL
�jDESCRIPTION(office use only) �) T�,� L --LOT " BLOCK V ADDITION scoot A/44 va/y P'-`'"�—Z/ 0' (
OWNER j�COR
V ; CfLUV& CO (Phone)°la-- OO t — 1g®91Y
(Name) j�
(Address) Ritmo,
4\
APPLICANT
(Name) At LILl 1 P ..61 /0 II '- (Phone)
(Address) 1 b 0 �J `'a MI
(Address) Q ity) (Zip Code)
(Contact Person) (Phone) 10) — 3105 T r( L4'
APPLICANT SIGNATURE - �r%® 4 ' DATE •
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
•
Bath Tub with or without shower Rough-ins
Dishwasher I 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
ii9 56
lost $ • Building Permit#
The Minnesota Statutes§326B.148
"'SURCHARGE"has been changed for one PLUMBING PERMIT FEE $ 461
SV
year effective STATE SURCHARGE $ ���•'�
Jul 1.2010.until June 30.2011.
The minimum surcharge for a"fixed fee" permit TOTAL PERMIT FEE $ _ in I I M$
is 35,beginning July 1,2010 q I
This Application Becomes Your Building Permit When Approved Pai �J 50 Receipt No.-3347
L',
J
Date /--- ''1,\Q By
Building Official Date ,c-D-- .
24 hour notice for all inspections(952)447-9350,fax(952)447-4245
• 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372