HomeMy WebLinkAboutPlumbing Permit 11-0626 Water Softner DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 8/i '
ADDRESS 3R J C(
OWNER CONTR.
PHONE NO. PERMIT NO. l 4.70
a
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL ❑ GASUNE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: 1(66-
K
i' ( 2) 1.; c
f WORK SATISFACTORY, PROCEED
❑ CORREC C N AND PROCEED
❑ CO - CT , CALL FOR REINSPECTION BEFORE COVERING
Inspe or: Owner /Contr.
AL 44 9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CO )E REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNon
RIO *to, Date Rec'd
ti 4 , r CITY OF PRIOR LAKE PLUMBING PERMIT
4,, 'NNESO
........______2
1. Blue File
2 Gold City ` PERMIT NO. / f C
.
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
3 9 a R aaers C .553 7
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER 1 R O�.ei(If S
(Name) � � �f � e (Phone) 95d -- aa I. - al a s
(Address) 31 acl. me.. -cc e s Ci
APPLICANT CULLIGAN WATER CO r JONING
(Name) 6030 CULLIGA d (Phone)
(Address) MINNETONKA, M "345
d._._ (AddrS3 2 ) 933`72 0 (City) (Zip Code)
(Contact Person) . (Phone) {
APPLICANT SIGNATURE DATE 3 U - (l .
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 I 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) 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
— - 'ost $ Building Permit #
The Minnesota Statutes § 326B.148
"SURCHARGE" has been changed for one PLUMBING PERMIT FEE $ 4 . s 0
year effective
July 1, 2010, until June 30, 2011. STATE SURCHARGE $ S 00 3$
The minimum surcharge for a "fixed fee" permit TOTAL PERMIT FEE $ 5`-I i 5 0
is 55, beginning July 1, 2010
This Application Becomes Your Building Permit When Approved Paid t ') Re if No. �O / 33,1_6
Date C� /
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