HomeMy WebLinkAboutPLUMBING PERMIT 16-0002 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED t It-i i),
t / it
ADDRESS / 6S 1 ( /4-7,, iG(—Y L--4-44-�i
1 OWNER CONTR.
PHONE NO. PERMIT NO. )(. 00 Z----
1 ❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
OP • ❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL 0
COMMENTS: /(6, /053-
0
0550 16-- /-&() st'i.-
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
�F PRI0.� Date Rec'd
9� CITY OF PRIOR LAKE PLUMBING PERMIT
U ra
`tI �Q`
NWESO
1. Glue Cit PERMIT NO. -
2. Gold City /�' � �)_✓}
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
117 V5-0 DieiLy2,A',€ JJ Da_k-9-(
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
(Name)
O
OWNER Ve)R J 1 ) 1 f-` e (Phone) q5(2-(///0- 3S-7
(Address) r7 L/ ✓ ) tie -Fie I JDIA/L A
APPLIC'.1, \� . . .. .. 1 A V --f-AA n r. o ��,... PIRM) .. ( h-(.41.4
(Name) _
(Address)19 ac.) 3" t. • 1IIIIPA art) MO I t _
(Address)_ (City) (Zip Code) 9
(Contact Person) \v\..L"--- (Phone) Com. r
APPLICANT SIGNATU'' ivil 111111111&\ 10.4_11.211.\1,. P,TE io
APPLICAN 'LEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain j 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 $ 1$q •�U Building Permit#
PLUMBING PERMIT FEE $ got. 5o
STATE SURCHARGE $ $1.00
TOTAL PERMIT FEE $ 50. 50
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Receipt No. 61
Date ( By /
Building Official Date ' , I c ,t 6
C,
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372