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HomeMy WebLinkAboutBuilding 15-1507 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED L[2:2-lac ADDRESS ;2027 (,J r 01 -tis r OWNER CONTR. S . ( l-ho � 1 PHONE NO. PERMIT NO. j' ( 3 0 FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING 0 FOUNDATION 0 MECH RI 0 COMPLAINT O FRAMING 0 WATER HOOKUP 0 FIREPLACE RI 0 INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL 15-FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST O SITE INSPECTION 0 MECH FINAL 0 COMMENTS: d)..o • 15--1507 ©k ❑ WORK SATISFACTORY,PROCEED CORRECT ACTION AND PROCEED O CORR- •-K,CALL FOR REINSPECTION BEFORE COVERING Inspect. I Owner/Contr. CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY! matron oTn • • �6 I'RAio Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT NNES} \c..) th—/6 n I. Blue File PERMIT NO.. Geld City /5- / 0,73.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 323o wild Norse Pass NW 7 LEGAL DESCRIPTION(office use only) /Act / J / pLOT I "BLOCK �) ADDITION GU l LIS �(J 17 _ PID Z5 -38, _ /3Q) 0 OWNER ' (Name) Eric $u% (Phone) c}52•'905- 1099 (Address) 3200 w i Id HO(SC Pass NW APPLICANT , (Name) Champion ?L IAM 101 (Phone) GSI 1�-'3_Gr S- 131.10 (Address) .AZO Dodd 1d Eagan % +-1►V 551)3 (Address) (City) (Zip Code) (Contact Person) geb er,c cx/lb r4n (Phone) APPLICANT SIGNATURE - Ja—at DATE a/3/15 APPLICANT PLEASE COMPLETE BELOW • Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough-ins Dishwasher C Water H 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) 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 $ 60 .00 year effective STATE SURCHARGE $ .50 .J:;i-,•7,2010.until JuJune 30.2011. The minimum surcharge for a"fixed fee"permit TOTAL PERMIT FEE $ S0,50 is 35,beginning July 1,2010 This Application Becomes Your Building Permit When Approved Paid ,r) Receipt No. 3 100 Building OfficialDate ) .. .16• /çç' By DateS 24 hour notice for all inspections(952)447-9350,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372