HomeMy WebLinkAboutPlumbing Permit #09-0281 ��' �J
DATE TIME
CITY OF PRlOR LAKE
INSPECTION NOTICE SCHEDULED �' �r`/�
ADDRESS ! �lf� * /l.�-- � �
OWNER CONTR.
PHONE NO. PERMIT NO. �� "" O� 9/
� FOOTING � PLUMBING RI O EX/GRAD/FILLING
0 FOUNDATION ❑ MECH RI O COMPLAINT
0 FRAMING ❑ WATER HOOKUP ❑ FIREPLACE Rt
❑ INSULATION � SEWER HOOKUP ❑ FIREPUICE FINAL
❑ FINAL � PLUMBING FINAL ` �GASLINE AIR TST
❑ SlTE INSPECTION O MECH FINA�
COMMENTS: '-� "�' ` ���
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{7 WaRK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
O CORRECT WORK, CALL FOR REINSPECTION BEFORE COYERING
Inspector: �' ' Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YDUR PERSONAL HEALTH & SAFETY.�
WSNOTI
� p RIO Date Rec'd
� � 9 CITY OF PRIOR LAKE PLUMBING PERMIT � 2 � U g
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�jNNES��A 1. Blue File
2. �o,d �� PERMIT NO. � 1 v Z
3. Yellow Applicant
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LEGAL DESCRIPTION (oflE'ice use only)
LOT BLOCK ADDITION PID
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APPLI NT PLEASE COMPLETE BELOW
Quanti T e of Fi re uanti T e of Fizture
Bath Tub with or without shower Rou h-ins
Dishwasher Water Heater
Floor Drain Water Softener
Lavato Bathroom Sink Stand Pi e Washin Machine
Laund 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
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 $ ¢y.�
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ ,SZ} �lZJ
(Oftice Use Only)
This Application Becomes Your Building Permit When Approved Paid �� ec ipt No.� ys �
.
Dat
Buildin¢ Ofticial Date � Z - d
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372