HomeMy WebLinkAboutPlumbing Permit 16-1124 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED U
.044.,
ADDRESS 3C1 "(Ja L Cia' `" -`
OWNER CONTR.
PHONE NO. PERMIT NO. \ , l\21
❑ 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 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL
(420 ‘-W42-,
COMMENTS:
L't A\--- -C -14t
(11 --
4VORK 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!
INSNOTI
O
2 late Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I.Nue
i Gold a PERMIT NO. •
� IZ- I 4--
3.
Yellow'(Plena tine or andaigaatbottom) Approve
ADDRESS •
,67 a i'oE a:-- Tr l A! 553`7 ZONING(office ,
LEGAL DESCRIPTION(offoe use only)
LOT BLOCK ADDITION PID
( 9 la 1'lain rovl ILQ g (phone) 9 - , 6- �j c 9
( ) Sc? — 5 a � �
APPLICANT
(N ) -Appliance Connections Inc. - •
12850 Chestnut Blvd. (done)
(Address) Shakopee, MN 55379 "
(Address) 952-4454803 Katy) (Zip Code)
cContact Person) c_,001.4(e ei..4) 1. - f^ . (Phone)
APPLICANT SIGNATURE' .�
DATE aP i • r •
APPLICANT PLEASE COMPLETE BELOW `"
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher . c.)
Water Heater
Moor Drain Water Sower
Lavatory(Bathroom Sink) Stand Pipe(Washing Machine)
• Laundry Tray(1 or2compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks rr�.
Bar Sink - • Backflow Assembly Test
Sprinkler Closet(Toilet)
Other
Commercial&Multi-familyFEE SCHEDULE
Comm
1%of job cost with a$4930 minimum ,-, ;: NOW One&TWO-Family $149.50
-,,.: Additions&Alterations $49.50
The Minnesota Statutes§326B.148 $ BundiniPesmit#
. "SURCHARGE"has been extended• �r�
The minimum surcharge for 1 PLUMBING PERMIT FEE . $ g..39
"fixed fee"permit is STATE SURCHARGE ,$ r---0 l
5'@8' -
. TOTAL PERMIT FEE $ 55)
This Application Becomes Your Bre Permit When Approved Paid
•
lA
o� Date nate 1 �0 �,io
-24 hoar notice for al mapeedo*s(952)447-9855,fax(952)447-4245
4646 Dakota Street&E,Prior Lake;M#tinota 55372
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