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HomeMy WebLinkAboutPlumbing Permit 11-0468 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED Li IZ(%I ADDRESS 31 3 8 414 QUC k OWNER CONTR. pp PHONE NO. PERMIT NO. /146 ❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD /FILLING ❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT ❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI ❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL ❑ FINAL ❑ PLUMBING FINAL ❑ GASL NE AI �� TST ❑ SITE INSPECTION ❑ MECH FINAL SWr 4— COMMENTS: 1 if a forf j _._ ( ..e- ......7 7 0 f WORK SATISFACT• - Y, PROCEED CORRECT ACT • • ■ D PROCEED ❑ CORRECT • • • d FOR REINSPECTION BEFORE COVERING Inspector: Owner /Contra CALL 447 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI c � Date Rec'd „,,,_.,,„ Rlw =_ CITY OF PRIOR LAKE PLUMBING PERMIT , Y YESO�P L ue File 2. � Bl ,� F A; I PERMIT NO. // 4,6 0 3. Yellow Applicant 6 (Please type or print and sign at bottom) ADDRESS ZONING (office use) 3138 1����c� 1 2 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PJD OWNER (t-) � po,k 4 6 /2 — M 3/ 7 (Name) c/ / /� (Phone) // (Address) 3 i 3 b 0) �°' e ' -8,- • -- -P ( 0 r L 7 k APPLICANT _L g j\ N A E e� / J i C ! 5 2 - — 7S b / 5 (Name) � 1 1/() �' `- ( �J (Phone) 50 7) (Address) _ & 2 0 IC ( ✓V � �J C � � © / (Address) (City) (Zip Code) L 0 75- - e? (Contact Person) _ L 4 (Phone) 95 e ? o In APPLICANT SIGNATURE / � DATE O --g ) / APPLICANT 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 Sprinkler Water Closet (Toilet) i Other FEE SCHEDULE Industrial, Commercial & Multi - family I% of job cost with a $49.50 minimum Residential, New One & Two - Family $149.50 Residential, Additions & Alterations $49.50 ' " )st $ Building Permit # The Minnesota Statutes § 326B.148 /� _ "SURCHARGE" has been changed for one PLUMBING PERMIT FEE $ ,, VJJ I "1' 5 0 y year effective July 1, 2010. until June 30, 2011. STATE SURCHARGE $ 5 Ao The minimum surcharge fora "fixed fee" permit TOTAL PERMIT FEE $ ' _ � LI , `7 h is i5, beginning July 1, 2010 This Application Becomes Your Building Permit When Approved Paid 4 s7-) Re. - / No. / Z ( P Ybo Date a <� e Buildine Official Date , i 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372