HomeMy WebLinkAboutPLUMBING PERMIT 16-977 DATE TIME
CITY PRIOR LAKE
INSPECTION NOTICE SCHEDULED s�--tZ'1�
ADDRESS sr 0 .
OWNER CONTR. CL
PHONE NO. PERMIT NO. /
❑ PLUMBING RI 0 EX/GRADIFILLING
❑ FOOTING 0 MECH RI 0 COMPLAINT
❑ FOUNDATION0 FIREPLACE RI
❑ FRAMING 0 WATER HOOKUP
0 SEWER HOOKUP 0 FIREPLACE FINAL
❑ INSULATION
❑ SFINAL 0 MECH FINAL
0 PLUMBING FINAL GASLINE AIR TST
❑ SITE INSPECTION7.
COMMENTS:
1
irlORK SATISFACTORY,PROCEED
0 CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector:g2Owner/Contra
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
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01,P'RIp4. Date Rec'd
( '(/ 1 C CITY OF PRIOR LAKE PLUMBING PERMIT
rVNE50
1.Bone File
Applicant 2.Gold City PERMIT NO./u q 77
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
1 LirSISCIEIm hire, 5w
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
(Name)OVVNE ' n tip .a lJ l' e I•..O�-� (Phone) q5I (4Si'O SS?.
(Address)
APPLICANT Ectsco
I • 1144-3`"I (Phone) 1 I _I q 6' ` 51
'
(Address) lU SV%OYt( r "`�" Lk rah) 5555-1
(Address)�� , (City) C,((ZipcCoode)
(Contact Person) Va d ' ' "` VOW (Phone) 111 d I SC2 ✓`1 o `N
APPLICANT SIGNATUR:� 1 ' DATE U• • I�Q
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher _ 1 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
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
3500
Residential,Additions&Alterations $49.50
Estimated Cost $ J 5 n0 Building Permit#
PLUMBING PERMIT FEE $ LICI•50
STATE SURCHARGE $ $1.00
TOTAL PERMIT FEE $ L•50
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid 5.-0 /6-1)
Receipt No. 6.-7/
Date 0,
2,6G By pi
Building Official Date
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372