HomeMy WebLinkAboutPLUMBING PERMIT 16-986 �^ DATE TIME
CITY OF PRIOR LAKE SCHEDULED ! Z Z
INSPECTION NOTICE
ADDRESS 5C) (QCLJ L 2-
OWNER CONTR.
PHONE NO. PERMIT NO. j " —I/ Q T/c
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION
0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION .D�SEWER HOOKUP 0 FIREPLACE FINAL
❑ FINAL LUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL 0
COMMENTS: (+2 0 L
O_AcY-A, - -C4Li
c\-P-A
WORK SATISFACTORY,PROCEED
,71
❑ CORRECT CTION AND PROCEED
0 CORRE •RK,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!
IMSNOT,
di
?R1-04 'Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
N
v
1.: i PERMIT NO., /6 q86
3.Yellow Avg/cent
type or mint and aipaat
ADDRESS . ZONING(officeuse)
5500 (eolCirt60 oc 33— 553-7 ).
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PU)
&rill:
��.1C, VQSQ1 4 (Phone) / 5J- 9 /�- 5)30 )
(Address) _ 3c — _
A►i!]'LICANT
(Name) — Appliance Connect e)
' . *85/4 Chestnut lvd. .
(A ) // .''.e _ .. Yom!.
(A ) "Y '5.486
y
\\ ) (Zip Code)
(Contact Persoli)3aWQ ' ► 0,40 1 (Phone)
APPLICANT SIGNATURE' (tif & g DATE a . /aoJb
._,..
APPLICANT PLEASE COMPLETE BELOW
Quantity - Type of Fixture Quantity Type of Fixture
' Bath Tub with or without shower Rough-ins
Dishwasher ' k' Water Heater
Floor Drain Water Sower
' . Lavatory(Bathroom Sink) Stand Pipe(Washini Machine)
Laundry Tray(1 or 2 cent sink Sewage Ejector
Shower Stall Backflow Assembly .
_Sinks _ Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet(Toilet) Other
FEE SCHEDULE
Industrial,Commercial&Multi-fr 1y 1%of job cost with a$4930 minim Resickiptial,New One&Two- Y $149.50
Residential,Additions&Alterations $49.50
The Minnesota Statutes§326B.148 $ Bin 'Permit# -
"SURCHARGE"has tded /! .
The minimum surchargebeenexforenPLi�MBING PERMIT FEE $
"fined fee"permit isvo. STATE SURCHARGE ''$ ' 115—A J�
J . TOTAL PER4t�IIT FEE
This Alen Becomes Your Building Perms When Approved Paid 60 No.1 'i.A. ''• No. 6 1
Dundee Official Date 2,3b 16, ; .
'
24boar notice for all Inspections(952)447-91611,fax.(952)447-4245 ,
4646 Dakota Street S.E.,?fir Lake,Minnesota 5