HomeMy WebLinkAboutPLUMBING PERMIT 16-1125 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED AI 41
ADDRESS I i 2..... ( 95 r ��
OWNER CONTR.
PHONE NO. PERMIT NO. )(,o ,a2 s-
0
❑ 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 0 MECH FINAL
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COMMENTS: VZd
C/(-'0-)- 4,)k
WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector. 1.-1 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
•
t?Rio Date Rec'd
011%1 CITY OF PRIOR LAKE PLUMBING PERMIT
Zs, •
13biet Fite
2.Gold at, I PERMIT NO. (72,
5
Yellow Appeals
(Please type or print and sign at bottoms)
ADDRESS - ZONING(office use)
47a M)/ i'e/Cif •.4b(
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION
OWNER ..,4e
(Name) lar1PC BOO_ (Phone) i63- 350-92'32-11
(Address) , .
APPLICANT
( . ,
Name) -Appliance Connections Inc
*850 Chestnut Blvd. (Phone)
AddressShakopee, MN 55379 -
( )
(Address) vs7-44.34etn- (city) (zii Code)
(Contact Person) _ • 1 1,0 (Phone)
APPLICANT SIGNATURE .... ...1.02 DATE 97dg1/4/C)
APPLICANT PLEASE COMPLETE BELOW
Quantity - Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher S Water Heater
Floor DrainWater Softener
Lavatory(Bathroom Sink) • dro Stand Pipe(Washing Machine)
• Laundry Tray(1 or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks '21)Backtiow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet(Toilet) Other
FEE SCHEDULE
Industrial,Commercial&Multi-family 1%ofjob cost with a$49.50 minimum ' New One&Two-Family $149.50
Additions&Alterations $49.50
The Minnesota Statutes§326B.148 $ Building Pennit#
• "SURCHARGE"has been extended
The minimum surcharge for A- PLUMBING PERMIT FEE . $ 41.1•SV
• STATE SURCHARGE $ ro I ISO
"fimd fee permit is$5:00-
00 . TOTAL PERMIT FEE $
This' Application Becomes Your Building Permit When Approved Paid 0 Receipc,No. 1 ofr
nalldina Official Dots • Date q. tr. •( BY
24 boar notice for all Inspections(952)447-904,fax(952)447-4245
4646 Dakota Street&E.,Prior Lake,Minnesota wan