HomeMy WebLinkAboutPlumbing Permit 11-0068 DATE TIME
CITY OF PRIOR LAKE
INSPEGTION NOTICE SCHEDULED 7 � �
ADDRESS �L7��. ����� ¢
OWNER CONTR.
PHONE NO. PERMIT NO. I� d O Csa
❑ FOOTING � PLUMBING RI ❑ EX/GRAD/FfLLING
❑ FOUNDATION ❑ MECH Rf ❑ COMPLAINT
❑ FRAMiNG ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FiNAL
❑ FlNAL O PLl1MBING F1NAL �G�E AI� R TST
❑ SITE INSPECTION ❑ MECH FINAL
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COMMENTS:
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�WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
O CORRE ORK, CALL FOR REINSPECTION BEFORE COYERING
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Inspecto� OwnedContr.
CAL ' 7 9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.�
INSNOT!
, o � Pxlp� Date Rec'd
� � CITY OF PRIOR LAKE PLUMBING PERMIT
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, B��e File pERMIT NO. �� oo �
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ADDRESS ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
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(Address) ' � � � � � �
APPLICANT
(Name) Cn�rnpian Plumbiny (Phone)
# 61770-PM
(Address) 651-365-1340
(A�j Dodd Rd. (City) (Zip Code)
Eagan, MN 55123
(Contact Person) �( � (Phone)
APPLICANT SIGNATURE DATE (� �- `
,
APPLICANT PLEASE COMPLETE BELOW
uanti T e of Fixture Quanti T e of Fixture
Bath Tub with or without shower Rou h-ins
Dishwasher Water Heater
Floor Drain Water Softener
Lavato Bathroom Sink Stand Pi e Washin Machine
Laun Tra (1 or 2 com artment sink Sewa e E'ector
Shower Stall Backflow Assembl
Sinks Backflow Assembl Test
Bar Sink Lawn S rinkler
Water Closet Toilet) Other
FEE5CHEDULE
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
'ost $ Building Pernut #
The Minnesota Statutes § 326B.148 ' f � +
"SURCHARGE" has been changed for one pLUMBING PERMIT FEE $ `I 1• s�
year effective STATE SURCHARGE $ `-ri D.
July i, 2010, until June 30, 2011. `
The minimum surcharge for a " fixed fce" permit TOTAL PERMIT FEE $ rj� • r j�7
is 5�, beginning July 1, 201Q
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Buildine Official Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
� 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 ���5�
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