HomeMy WebLinkAboutPLUMBING PERMIT 17-0024 CITY OF PRIOR LAKE
INSPECTION NOTICE DATE TIME
SCHEDULED
24412
ADDRESS ) 7 q 4-5 A
•
OWNER r __
CONTR.
PHONE NO.
PERMIT NO. ) ?. -Z�
❑ FOOTING ❑ PLUMBING RI
❑ FOUNDATION D AD/FILLING
0 MECH RI 0 COMPLAINT
0 FRAMING
0 WATER HOOKUP 0 FIREPLACE
I
❑ INSULATION
❑ FINAL 0 SEWER HOOKUP F
0 PLUMBING FINAL 0 FIREPLACE FNAL
0 GASLINE AIR TST
❑ SITE INSPECTION
❑ MECH FINAL
4:1COMMENTS:
1ORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
0 CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector: J
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
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Date Rec'd
I Z3
CITY OF PRIOR LAKE PLUMBING PERMIT
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2 1. BWed File PERMIT NO.
GelAppcant
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ADDRESS ZONING(office use)
14179 Ash Circle NE
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PIDaWn ER Richard & Sarah Krohn 952-300-8661
(Phone)
(Address) 14179 Ash Circle NE
APPLICANT Tri County Water Conditionin
(Name) 9 (Phone) 952-447-2160
(Address) 5333 160th St. SE
(Address) (City)
Bill Corby (Zip Code)
(Contact Person) 952-447-2160
(Phone)
APPLICANT SIGNATURE DATE
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 Tri(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 $
STATE SURCHARGE $ $1.00
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Receipt No. 7y.:37
Date �e�
J
Building Official Date /. l6 �7 By I (/
24 hour notice for all inspections(952)447-9850 4�`'
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372