HomeMy WebLinkAboutPLUMBING PERMIT 16-1014 CITY OF PRIOR LAKE DATE TIME
INSPECTION NOTICE SCHEDULED
ADDRESS
OWNER CONTR.
PHONE NO. PERMIT NO. i o 5-3
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FUMING 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:
/..)4/....ORK SATISFACTORY,PROCEED
❑ CORR CT 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!
JNSNOT!
. . .
cfrirmit VRIO e •'Date Rec'd
E4
.CITY OF PRIOR LAKE PLUMBING PERMIT
. . .
4Wdo .
Fct, PERMIT NO. ic i 4.
3.Yellow Applicant
(Please type or print and sign at bottom) .
ADDRESS' - ZONING(office use)
410,1 PoonAncol S-1-- 5537g-
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER t
(Phone) 95)1-440-1305
osianto s i00 A. 0 1, ..0)(k
(Address)
APPLICANT — Appiianco Connections Inc. • •
(Name) , It85oletitstnut 814Plone)
(Address) 04*W MN 55379
(Address) —0044544803- (City) (Z Code)
(Contact Person) s_ #(),Y14 i e eof(? - ,.._. (Phone)
D i .
APPLICANT SIGNATURE- 69/61-4-) gtpie---,Q DATE 4?eq PO b1C),
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 Water Softener -
• • Lavatory(Bathroom Sink) , Stand Pipe(Washing Machine)
Laundry Tray(I 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.&Malti-fomlly 1%ofjob cost with a$49-50 minimum Residesutial,New One&Two-Family $149.50
- - Residential,Additions&Alterations $49.50
The Minnesota Statutes§3268.148 '$ Busiclin 'Permit#
"SURCHARGE"has been extended riT...,..,,,..,,, iti?
• The minimum surcharge for& ei,""1"Ivi".A Tr SURCHARGE" P PERMIT FEE :
"fixed fee"permit is$570. frif ye; -, rar"----ALiiiitmiiFEE -'$ ' ' 1-10„..V)t-
- . .
1 •
This Application Beeman Year Building Permit What Approved Paid 56.0 ,„.., . No. 3J
• _ . .6
B
A -untline Metal . Date • Date Of cl, t to
, .
24 boar notice for an laspeetioss(952)447-9850,fax(952)447-4245 1
4646 Dakota Street S.E.„Prior Lake,Minnesota 55372