HomeMy WebLinkAboutPlumbing Permit 16-1193 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED \LJ.1/40(ico
ADDRESS [—13 10 U1/4-)
OWNER CONTR.
PHONE NO. PERMIT NO. '110 . ` 19 3
❑ 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: Hz_0 H
•
a ( - 4 ak,)--D__52,_
CORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector: �^%2Q.a�-z- Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
"SNOT/
D ReedP�ta� CITY OF PRIOR LAKE PLUMBING PERMIT •
1 C
zof :, IPERMITNO.,/ ' .(,/q31
3.Yeas" Agpieaic
(Plano tnearmkt sad riga atbottom) `,pj�TG(office use)
ADDRESS •
A ! �,
1
X310 IA t� 0 r�ss SE ,t
LEGAL DON(office use only)
LOT BLOCK ADDfON • P1D
°(Nam) 401 ('1 ' I.Q,� •-e ( .12. (Phone) /1 is -02,37-7�/0
VII
(Address) 501
APPLICANT ( )
(A )
(Name) APPhanee CO►rnectiod ,:Inc.
12850 Chestnut-Blvd-Blvdd
(�Pee, MN 55379 (city) () Code)
2-44'L .411,.:.
.-403 -
(Contact Prison _ III ni ' (i /, : (Phone) .
APPLICANT SIGNATURE''i .•• . •�G 4
DATE 10 "/�/ 7,
APPLICANT PLEASE COMPLETE BELOW
qeDatity - Type of Fixture Quandty Type of Fixhire
' ' Bath Tub with or without Rough-ins
Dishwasher ' I Water Heater t .
Floor Drain Water Soffer •
' • Lavatory(Bathroom Sink) Stand Pipe(Washhig Maw)
Lary Tray(I or 2 compartment sink Sewage Elects'
Shower StaIl ', Assembly Test
Bar Sink
Sinks - . Lawn Sprinkler
B
Water Closet(Toilet) Other
FEE SCHEDULE raw ai49Sf)
Waring,Cam& 1%of job cost with a$4950 minimum oAdc>itine oos 8t X9.50
The Minnesota Statutes§326B.148 $ Buntik°P #
"SURCHARGE"has been extended .
The minimum sutchasgge ford Pte"PERMIT Kt& . $
• STATE SURCHARGE $ t t 1 IO
"fixed fee"permit is . .sv
\ ' 519
,Der: TOTAL PE�BT PEE $ ' 5
•
This Appheation Becomes Your Bu g Permit When App ed . Paas. ,0---v 6Z_ No. `i i Z v
Batiaaatefibtat - Date '
24 bear notice fir al karipectioas(952)447-94194,tip(952)447-4245
4646 Dakota Streets.,Prier Lake,11