HomeMy WebLinkAboutPlumbing Permit 16-985 DATE L, TIME
CITY OF PRIOR LAKE SCHEDULED 1 V
INSPECTION NOTICE
60 0 01,4 L,`— r2 9 G.....,-41
ADDRESS �v
OWNER CONTR. rr n
PHONE NO.
PERMIT NO. (O . _t S
❑ 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:
C_A—A—N----taz. _&,,.....31,„51...._
g...;11:0RK SATISFACTORY,PROCEED
• ORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector:/ 3 Owner/Contra
CALL 447-9850/ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
/NSNOTI
(3. PRI04) Date Rec'd
7----: -5 , CITY :OF,PRIGR LAKE PLUMBING PERMIT
U ��
,fir*NE SO,�e' 1. Blue File PERMIT NO. /(o - �J 5
2. Gold City
3. Yellow Applicant
'lease J.a or 'tint and sign at bottom) ZONING(office use)
ADDRESS
1 (903) 1V\o,t1(A•rtA WCA.,� 5 .
LEGAL DESCRIPTION(office use only)
PID
LOT BLOCK ADDITION
OWNER 4 t (Phone) &_12-___-_--- (OIC ----1---22S
(Name)
at i \�v��0
(Address) / 0 30
a I1oLid l,Ja SE
APPLICANT , . 0 (Phone) ,51" r
(Name) 1. L . : �, In
111 r ., i . #100 —& ti(Address) I (C. ) (Zip Code)
(Address)} le
��146 . '2�711 �� , (Phone) �. t J dJ
(Contact Person) //
4 - DATE Z=
APPLICANT -..---.111-,"-'05-_,-.41
Ar
APPLICANT PLEASE COMPLETE BELOW T�,e of Fixture
T me of Fixture Quanti
•
Bath Tub with or without shower Rough-ins
Dishwasher 111111111.111111
Water Softener
Floor Drain - Stand Pi se(Washing Machine)
Lavatory(Bathroom Sink) Sewage Ejector
Laundry Tray(1 or 2 com•alhuent sink Backflow Assembly
Shower Stallimmiimmi Backflow Assembly Test
Lawn S•rinkler
Bar Sink Other
Water Closet(Toilet)
FEE SCHEDULE
Industrial,Commercial&Multi-family 1%of job cost with a$49.50 minimum Residential,New One&Tw)-Family $149.50Residential,Additions&Alterations $49.50
Estimated Cost $ co o v Building Permit#
PLUMBING PERMIT FEE $ yc - C D
STATE SURCHARGE $ $1.00
TOTAL PERMIT FEE $
(Office Use Only) Paid '�ceipt Nol,�
This Application Becomes Your Building Permit When Approved �f
Date ,30,0EIIIIIIIIIIII
Building Official
Date
24 hour notice for all inspections(952)447-9850
4845 DakotaStreet S E.,"Priof Lake;'t'Minnesota-55372