HomeMy WebLinkAboutpLUMBING PERMIT 16-1246 DATE TIME
CITY OF PRIOR LAKE
SCHEDULED --
INSPECTION NOTICE
ADDRESS iL• •
OWNER CONTR. _
PHONE NO. PERMIT NO. �Co__ " L_-----2- L --
0 PLUMBING RI 0 EX/GRAD/FILLING
p FOOTING0 MECH RI 0 COMPLAINT
❑ FOUNDATION 0 WATER HOOKUP 0 FIREPLACE RI
❑ FRAMING FINAL 0 SEWER HOOKUP 0 FIREPLACE FINAL
❑ INSULATION FSITE INSPECTION 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ S
p 0 MECH FINAL 0
COMMENTS: Qat, L.,
illiliViiw
WORK SATISFACTORY,PROCEED
p CORRECT ACTION AND PROCEED
❑ CORRECT 'OR CALL FOR REINSPECTION BEFORE COVERING
Inspector Al Owner/Contra
CALL •�850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
0� PI0� Date Rec'd
ti/NR CITY OF PRIOR LAKE PLUMBING PERMIT
NATE y
Moe File
2. cold city PERMIT NO. 7(:.
i z 4-
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS
ZONING(office use)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER ----� f`:7
(Name)"��; r, 47%' �
-��� (Phone)
(Address) • /Attu C� �--- "V&)
APPLICAJu- �/-I�/ _/
(Name) l it ! ` / (Phone)
(Address -fit- - -dip ✓. ,' C fes- tie r
(Address (City) // (Zip Code)
12
(Contact Person) 7 / �G lr (Phone)6 5/,..---7F7
APPLICANT SIGNATURE _ AvI ., DATE , D..
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
I Water Closet(Toilet) I I Other
FEE SCHEDULE
Industrial,Commercial&Multi-family I%o(job cost with a$49.50 minimum Residential,New One&Two-Family $I49.50
Residential,Additions&Alterations $49.50
Estimated Cost $ . pc) Building Permit#
PLUMBING PERMIT FEE $ ,�j C21
STATE SURCHARGE $ $1.00
TOTAL PERMIT FEE S
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid !b cu Receipt No.17 2_3
Buildine Official Date Date j (� By�
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372