HomeMy WebLinkAboutPLUMBING PERMIT 16-675 DATE TIME
CITY OF PRIOR LAKE SCHEDULED Z __--
INSPECTION NOTICE
ADDRESS
OWNER CONTR.
f G 67.5PHONE NO. PERMIT NO.
p FOOTING
0 PLUMBING RI ❑ EX!GRADIFILLING
0 MECH RI 0 COMPLAINT
p FRAMING 0 WATER HOOKUP
❑ FOUNDATION0 FIREPLACE RI
❑ FIREPLACE FINAL
❑ NALATION 0 SLWER HOOKUP r, GASLINE AIR TST
❑ FINAL PLUMBING❑ FINAL .�"
O SITE INSPECTION 0 MECH FINAL (l y v ‘1,161-
COMMENTS: "T
ORK SATISFACTORY,PROCEED
CORRECT ACTION AND PROCEED
0 CORRECT RK,CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr.
Inspecto
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
WSNOTI
?RIO. Date Rev'd
N CITY OF PRIOR LAKE PLUMBING PERMIT
3 i „ „
�
: 'PERMIT NO., /
3_YeDow Apyiaat \O /7
(Please Owe Of prim and sign atbottom) .`
ADDRESS' ZONING office use)
f IAA r- e 14 . C ,
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
O•• :
(Mine) — E e., liki - A 53.4
I —
APPLICANT
Appliance Connections inc. (fie)
(A ) 12850 Chestnut Blvd. ,i, •
(Address) Shakopee-, MN 553-79 (City) (Zip Code)
"\ 5 -445-4 03
(Contact Person) _ Oli ' - rte. (Phone)
APPLICANT SIGNATURE , i 1 A 7. II... . /,_ _ DATE
( loil;lite - 7`
APPLICANT P - E COMPLETE BELOW
Qa y • Type of Fixture Quantity Type of Fixture
Bath Tub with or without slower _ R .�
Dishwasher • I Water Heater
' Moor Drain Water Softener
r —
` . Lavatory(Bathroom Sink) Stand Pipe(Washing Machine)
Laundry Tray(1 or 2 cont sink Sewage Ejector
Shower Stall Blow 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
The Minnesota Statutes§3268.148 $ Building Permit#
"SURCHARGE"has been extended
• The minimum surcharge for a PLUMBING PERMIT FEE $ #1'
"fixed fee"permitSTATE SURCHARGE $ [AO
is8@' " TOTAL FEE $
/,ooh. ,Se
4.,
This Applicadon Becomes Year Building Permit When,Approved Paid I No.
> o� nm • POI 2 2 2016Forirsimi
24 beer notice for al
(952)447-9050,fax OS)447-4245 411
4646 Dakota Street&R.,Prior Lahti Minnesota 553'2