HomeMy WebLinkAboutPLUMBING PERMIT 16-1126 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED /46 f HG LA
ADDRESS L,Lq l Aoe_ POI
OWNER CONTR.
PHONE NO. PERMIT NO. 16
❑ 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 ❑
COMMENTS: Ian Cj0 L 4
L.,c 42—A.P-- Z.` Lie
❑ WORK SATISFACTORY,PROCEED
CORRECT CTION AND PROCEED
ORRE T ORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
5 E REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
Oi PR/O4 Date Rec'd
,� CITY OF PRIOR LAKE PLUMBING PERMIT
v
arses°
1.Blue File PERMIT NO.
2.cola City /62 .. //uo
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS
ZONING(office use)
L 14 1 Ro6po&rv , nnQe �� - 37
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
O(Name) 1`��c-� 4t' to r'l (Phone) '?5 a— oZ),L- 32 LSI
(Address)
APPLICANT
(Name) -:ULLIGAN WATER CONDITIONING (Phone)
6030 CULLIGAN WA'(
(Address) MINNETONKA, MN 55345
(Addres(952) 933-7200 (City) (Zip Code)
(Contact Person) n (Phone) c
APPLICANT SIGNATURE (.' ! - /5-
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain I , Water Softener
Lavatory(Bathroom Sink) _ Stand Pipe(Washing Machine)
Laundry Tray(1 or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet(Toilet) Other
FEE SCHEDULE
Industrial,Commercial&Multi-family 1%of job cost with a$49.50 minimum Residential,New One&Two-Family $149.50
Residential,Additions&Alterations $49.50
Estimated Cost $ as 9/, 00 Building Permit#
PLUMBING PERMIT FEE $ 171G G
` 50
STATE SURCHARGE $ / .5t0
TOTAL PERMIT FEE $ 56, SZ)
(Office Use Only) .
This Application Becomes Your Building Permit When Approved Paid CO cl) Receipt No. t?U G�
Date n �� /� By
Buiidine Official Date &I F
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372