HomeMy WebLinkAboutPLUMBING PERMIT 16-1440 C-1/ DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS t [Ut
(/ cL (2 Wt-
OWNER CONTR.
PHONE NO. PERMIT NO. / (o , I LA`(
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL �❑i
COMMENTS: 2 O '�-
WORK SATISFACTORY,PROCEED
❑ CORRECT 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!
INSNOTI
of PRIO,p Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
Gold FiyCie PERMIT NO. /b i
3. Yellow Applicant 170
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
3781 Turner Drive SW P11/5/)
LEGAL DESCRIPTION(office use only)
/�
LOT 'BLOCK( ADDITION Al/c/ PID as-- (./5-5---(990-0
OWNER
(Name) (Phone)Yen Dang 952-440-6606
(Address)
APPLICANT Tri County Water Conditioning 952-447-2160
(Name) (Phone)
(Address) 5333 160th St. SE
(Address) (City) (Zip Code)
(Contact Person) Bill Corby (Phone) 952-447-2160
APPLICANT SIGNATURE DATE 12/20/16
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 1 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 $ 0-5
)
STATE SURCHARGE $ $1.00
TOTAL PERMIT FEE $ 9�
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Receipt No. "�6 �`2..
DU-SD
Date ^� /
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Building Official Date —al)
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24 hour notice for all inspections(952)447-9850 L+J l �E
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372