HomeMy WebLinkAboutPLUMBING PERMIT 16-0988 DATE TIME
CITY OF PRIOR LAKE i
INSPECTION NOTICE SCHEDULED 9 I 2- -/f'
ADDRESS /6 q 2/ '> ; // 6A-5L
OWNER CONTR.
PHONE NO. PERMIT NO. /
❑ 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 GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
/ t WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector: 1/9(-4L Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
. .
Ky -*PRI01) Date Rec'd
0 CITY OF PRIOR LAKE PLUMBING PERMIT
2.=d lg et y PERMIT NO.,, /i. . c
1 Yellow Applicant
(Please type or prtn' t and sign at bottom)
ADDRESS ' ZONING(office use)
Al
Th'id/ 1,0,0;1-- e_ - i _c_ 3L,
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID •
OWNER. .
(Na.me) i 1 /C-- ,\e/4 e_Art (Phone) 95 - 3 50, '5 I
(Address) . — 3C:1112- -
.
APPLICANT
(Name) , - Appliance Connections frhone)
12850 Chestnut Blvd .
(Address) Shakopee. MN 55379
(Addres) 152-445411303 (City) (Zip Code)
\ „
(Contact Person) - _ 1 .01 \. 0 0 t - ff_ r\ (Phone)
APPLICANT SIGNATURE- 10A 1.1— .) Yu4 (x. DATE F73-43 IDO/LIC
,.....
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower 0 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
1----
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 Re&idsntial,New One&Two-Family $149.50
- Residential,Additions&Alterations $49.50
The Minnesota Statutes§326B.148 $ Building Permit#
"SURCHARGE"has been extended
The minimum surcharge for 4 PLUMBING PERMIT FEE $ /11 ,,,,,.-5c'
STATE SURCHARGE ,$ t--7 t isoi,
"fixed fee permit is$51ftir
1,00 TOTAL PERMIT FEE $
This Application Becomes Your Building Permit When Approved Paid -5)( , -).
) 0—--- Receipt No.S v-1
Date
. 0( (C
Bifficring Official Date ) tL ,f
1
24 hoar notice for ail inspections(952)447-93*fax(952)447-4245
4646 Dakota Street S.E.,Prior Lsyki.,Minnesota 55372