HomeMy WebLinkAboutPlumbing Permit 16-1197 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED `0/ /Ct-
ADDRESS 1LU t Gs,,,,10-erckLk,
OWNER CONTR.
PHONE NO. PERMIT NO. /6-if 97
❑ 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 0
COMMENTS: Ocr l-kcte.„,
di,e,..., J-K____t-, y
WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORR ORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr.
CAL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
Date Rec'd
O
"I
ACITY OF PRIOR LAKE PLUMBING PERMIT
N
i.1.slue %'; PERMT'I'NO.` i 7
a°la
3.Yellow Applicant
(Please type or print and sign at both) ZONING(office use)
ADDRESS/ ,/ Wavwood
i L/( j or
LEGAL DESCRIPTION(office use only)
P11)
LOT BLOCK ADDITION
OWNER ` UL
' prk (Phone) ( A-`u-'--=--
(Name)
(Address) $pii'
APPLICANT (Phone)
12850 ChstGtttBlvd.
(Address) , (City) (Zip Code)
� (Address) , e .445-4803
(Contact Person), a Ill Ir I a ; , (Phone) //� ---------
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APPLICANT SIGNATURE I_ . --
emir ,: L DATE 1 4'
IAPPLICANT PLEASE COMPLETE BELOW of Fixture
nan( 4. ' of Fixture •nand / e
Bath Tub with or without shower Ron 11-ins
Dishwasher Water
t-insWater Heater
Dishwasher Waw.SoftenerFloor Drain Stand Pi.- ashin. Machine
Lavato :atbroom Sink Sewa_e E'ector
Laun• Tra 1 or 2 corn.artment sink Backflow AdornAssel
Shower Stall Backflow Assemb Test
Bar Sink Lawn S•rinkler
Bar SOther
Water Closet oilet
FEE SCHEDULE
Residential,New One&Two-Family $149.50
Industrial,Commercial Multi-family 1%of job cost with a$49.50 minimum Residential,Additions&Alterations $49.50
The Minnesota Statutes§326B.148 $ Building Permit#
"SURCHARGE"has been extended PLUMBING PERMIT FEE $ q`
The minimum surcharge for a
STATE SURCHARGE $ --Lap
"fixed fee"permit is$570fr
1,c,0 TOTAL PERMIT FEE
This Application Becomes Your Building Permit When Approved Paid co Receipt No. .#7 t 2 O
Date �/��ll'o
Baitdins Official Date By
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372