HomeMy WebLinkAboutPLUMBING PERMIT 16-1408 C- DATE TIME
CITY OF PRIOR LAKE SCHEDULED
INSPECTION NOTICE
ADDRESS L(9-98
CONTR. I -L /Q�
OWNER � r— �
PERMIT NO. `
PHONE NO. _ / ❑ EXIGRADIFILLING
❑ PLUMBING RI 0 COMPLAINT
❑ FOUNDATIONFOOTING 0 MECH RI 0 COMPLAINT
❑ A 0 WATER HOOKUP 0 RIINAL
❑ FRAMING 0 SEWER HOOKUP 0 FIREPLACEREP NE AIR TSL
❑ INSULATION 0 PLUMBING FINAL �y
❑ FINALT0 MECH FINAL T
❑ SITE INSPECTION
COMMENTS:
`WORK SATISFACTORY,PROCEED
O CORRECT ACTION AND PROCEED
O CORR T ORK,CALL FOR REINSPECTION BEFORE COVERING
pwnerlContr:
Inspect
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN
&SANETY!
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAL
1NSNOTI
04 rR/044 Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
414NEso'c' I. Blue File PERMIT NO.
2. Gold City ((c, e /4-0 f}
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
14 }1 Co ( wood ' A)E X537
LEGAL DESCRIPTION(office use onlay)• ' •
LOT BLOCK ADDITION PID
OWNER q� VMS'
(Name) CA4e--C_) Sec Q'.a r (Phone) 9 5 g 445 f� � c'
(Address) Q
APPLICANT Appliance COM Inc
(Name) 12850 c 2-Iestnut Blvd. (Phone)
(Address) Shakopee, MN 55379
(Address) 952-445-4803 (City) (Zip Code)
(Contact Person) 1 _/�� /i (Phone)
APPLICANT SIGNATURE giBIPM1( I.le/ DATE ) , 1 s
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(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
The Minnesota Statutes§326B.148 $ Building Permit#
"SURCHARGE"has been extended PLUMBING PERMIT FEE $ /719
The minimum surcharge for a
"fixed fee"permit is$5701r STATE SURCHARGE $ Ltliet
op TOTAL PERMIT FEE $ 57 SZ)
This Application Becomes Your Building Permit When Approved Paid n v� ceipt No. 65's
Date l y
Building Official Date °
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372