HomeMy WebLinkAboutPlumbing Permit 16-1191 CITY OF PRIOR LAKE /DATE TIME
INSPECTION NOTICE SCHEDULED /D 2 61
ADDRESS 34 ZS- M a.1
OWNER J _ CONTR.
PHONE NO. PERMIT NO. It - (1 ?l
❑ 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: 14)c i-- -
GtoS-e. �.
"*WORK SATISFACTORY,PROCEED
(—.1
❑ CORRECT AC ON AND PROCEED
❑ CORREC 0 ,CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr.
CALF. 7- 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
a$
:Date Rec'd
t CITY OF PRIOR LAKE PLUMBING PE •
•
1 i.Blre Fie
ciao le PERMIT NO., A, 1.1q 1
3.Yellow Assa m
(Please tape armlet ad site at bottom)m)
ADDRESS- • (us=ZONING(osuse)
,_;401 5 g/yrnbki' Tr Nu) 55S72
,
LEGAL DESCRIFIION(ofceuse caly) - •
•
LOT BLOCK ADDITION PID
Jdn /AJckt( / (Phone) 95? 55-9/37
(Address) Q lik
APPLICANT _ Appliance Connections Inc. • .
(Name) 11R50 Chestnid$vd( )
(Address) 'Shakopee, MN 55379
(A ) 952-445-4 d3 (�Y) Code)
(Contact Person) J# ,,( 1 /, .; _ _ (Phone)
APPLICANT SIGNATURE- ' ' Li/ ' °_ DATE 9/4 -9/1/b
•
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quandty Type et Fixture
Bath Tub with or without shower Rougb-ius
Dishwasher ' Water Heater -
'Floor DrainWater S •
' - ,Lavatory(Bathroom Sink) • ,_ Stand Pipe(WasbingMachine)
Laundry Tray(I or 2 compartment sink Sewage Ejector -
Shower Stall • '`Backflow Assembly
Sinks .- v Assembly Test
Bar Sink Lawn Sprinkler
Water Comet(Toilet) Other
FUR SCHEIN:1LE
Industrial,Commercial&Mti- ►1%e of job cost with a$4950 m ' New One&Two-Family $149.50
• - &Alteraticas 349.50
The Minnesota Statutes§326B.148 $ BwidiniPennit#
"SURCHARGE"has been extendedLLC ,I
• The minimum surcharge fort PLUMBING PERI�IlT FEE - $ if
"fixed feepermit - STATE SURCHARGE -$ t; L AO
�r�
is; 1 0 - TOTAL PERMIT FEE $ . 5,),r Jv
This Appy Becomes Year Builthog Permit Whoa Approved . Paid. ,---7., ,D U.- Receipt No. 1(2 0
> o I nate Date >0 . �. i(o ' il . •
-24 boar maim for al Lepectioas 052)44748M fm. 447-4245
4646 Dakota Strut SE.,Prior Laie.,Dianeseta f