HomeMy WebLinkAboutPlumbing Permit 16-1190 CITY OF PRIOR LAKE DATE TIME
INSPECTION NOTICE SCHEDULED /f /O
ADDRESS 280 1 LD i Ws Lo t
OWNER CONTR. / c}
PHONE NO. PERMIT NO. /C/7 " [ ` !0
❑ 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 AL 5:14\t--‘. ---
COMMENTS:
a (oma
JP\A IL
WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT RK,CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr.
CAL 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
LNSNOTI
lift :Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT •
OW .
,
1 ot 7yke, PERMIT NO. /(a , filo]
3.Yellow Applicant
MOM type*/pdat aid elapse bottoms) ,
ADDRESS - ZONING(oSee use)
02&o7 lithidS Lvt, 1U (,0 5587 a-
,
LEGAL DESCRIPnort(cffice use curly) ' -
LOT BLOCK ADDITION PID
ER
OWN
(Narize) if----at"e1A- BQI (1y (phone) b()---)41' 514?
(Address) . .-- 3ctri(a- —
APPLICANT . .
(Name) - Appliance Connections !Mine)
.128bU Chestnut Blvd,
(Address) Shakopee, MN 55379
(Address) 952-445-4803 (City) (rip Code)
Appu(ComactcANTPason:GNAblA (Phone)
TUREE-e7,cileti912k).( (4..t 1110.- 0,7
EATE4224eb. 7%
-
APPLICANT PLEASE COMPLETE BELOW
Quantity • Type of Platiwe Quantity Type of Fixture
' Bath Tub with or without shower • . , :,,
Dishwasher ' .. Water Heater
......
.Floor Drain lop Water Softener • . .
' • Lavatory(Bathroom Sink) • . Stand Pipe(Washing Macinne)
• Laundry Tray(1 or 2 compartment sink Sewage Ejector
Shower Stall • Backflow Assembly
Sinks 1 • ':: •-li I — Assembly Test
Bat Sink Lawn Sesinkler
I - Water Closet(Toilet) I other
FEE SCHERULE
Industrial,Commercial&Multi-fine*1%ofjob cost with a 54950 minim Rost ntal,— New Cue&Two-Fanuly $149.50
• - • ResiTential,Adations&Akeratious $49.50
The Minnesota Statutes§326B.148 $ . EtuncliniPamit#
'SURCHARGE"has been extended
The minimum surcharge fork . STATE. PERM"FEE - $ - . I
SURCHARGE „,$ t, 1111)
"fixed fee permit is$5100”' . PERMIT FEE $ . 4-5.40$
•
. //DO, •
- •
This Application Becomes Year Building Permit When Approved Paid 6b , czi,. Receipt No. ri rz.„.a...,
_
. . . 'Daft /6 •141(0 BY
______Maid . Date •
. -24 beer maw far alllaspeass(952)4474991,• 4646 D .b Set faz.(952)447-4245 ,