HomeMy WebLinkAboutPLUMBING PERMIT 16-777 r /TE TIME
CITY OF PRIOR LAKE /�
INSPECTION NOTICE SCHEDULED 7
ADDRESS ,7 0 7-,/ , , 1'A
OWNER CONTR.
PHONE NO. PERMIT NO. / 4 -1-7 -1
❑ 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 ,41 GAS E AIR TST
❑ SITE INSPECTION 0 MECH FINAL
COMMENTS:
WORK SATISFACTORY,PROCEED
ORRECT ACTION AND PROCEED
❑ CORRECT WO 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 do SAFETY!
INSNOTI
oiPR10'P Date Rec'd
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CITY OF PRIOR LAKE PLUMBING PERMIT
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I. sole FilePERMIT NO. 77 7
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(Please type or print and sign at bottom) 3. Yellow Applicant
ADDRESS ZONING(office use)� �7 T f Ttr� T�c`� / S
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LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER LASC �� U �`- / /�) 4 l� u�" �l✓" �. }�p l ,, h ('Phone
(Address) U - 9 7 TI r �%v� Fr. S r . Fri 01 �( V 'j Ml V 5/2; '.7-0 ,
APPLICANT.,—„' .. (—RIQ ® / r�
(Name) I t i( I , 0 3110 (Phone) l.3"(��— ( c�
(Address) 'X\1: l i Cl( � ] -7 ��l � , (/1) 1(my 1((-e 7
(Address) (City) i} -11 —
(Zip Code)
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(Contact Person) ! (,-
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APPLICANT SIGNATURE ,�� DATE 7/ /162
PPLICAT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower 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
—
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkle
Water Closet(Toilet) '/ Other A G U ti"I(�
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 $ q "! '5O
STATE SURCHARGE $ $1.00
TOTAL PERMIT FEE $ .'j()
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Receipt No. 6(9 y
,.. (0 By
Building Official Date Date (`i
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372