HomeMy WebLinkAboutPLUMBING PERMIT 16-0030 DATE TIME
CITY OF PRIOR LAKE /
INSPECTION NOTICE SCHEDULED 1 31c(o
ADDRESS lam' 141 Lj L(
OWNER CONTR.
PHONE NO. PERMIT NO. • I C — 0030
❑ 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 GAS�NE AIR TST
❑ SITE INSPECTION 0 MECH FINAL -'
COMMENTS:
C (-65 V-
WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRE ORK,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!
INSNOTI
e PRtp+f' Date Rec'd
c..)'" Nil
CITY OF PRIOR LAKE PLUMBING PERMIT
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3.Yellow Applicant /
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ADDRESS ZONING(office use)
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LEGAL DESCRIPTION(office use only) J > q
LOT 0 BLOC} ADDITION e j/„s 5, v ' '1 4LQ/J`4ey) PID ?5 3z/<, --ee-F
(Name)
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(Name) 1"JT(�? :i Ski /(/(t ch i"y, Cii/ (Phone) blz'-75(p -225
(Address) 4#513(5J( 2 37 TL, e Le 5C,05 7
(Address) 1,, (City) (Zip Code)
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APPLICANT SIGNATURE 0../77 / \.��� ae%(--e4`" DATE ) /. o'� ,/(0
AP ACANT 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 $ Building Permit#
PLUMBING PERMIT FEE $ ij q,50
STATE SURCHARGE $ $1.00
TOTAL PERMIT FEE $ 50 4 5 0
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid a c Receipt No. 3q Li `�
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Date ((// t By ,_J
Buildinc Official Date ( ' 1S-, ) VJ 3
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372