HomeMy WebLinkAboutPlumbing Permit 16-1194 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 1.1 3 1(0,
ADDRESS 5—6'a tf‘., ,,."
OWNER CONTR.
PHONE NO. PERMIT NO. 1(e , 'I Cl`f
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL
4-t i c \A rt-(Z-
COMMENTS:
tA-140-
WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
1NSNOTI
it P110k :Date Rec'd
CffY OF PRIOR LAKE PLUMBING PERMIT .
•
1 rid c PERMIT PTO. /' f�J�A�i
(1'1f7leaarp®taa�dai�aatbetnaee) 3 Yellow Appeait NO..//6
�/ /`�
ADDRESS • •� L
ZONING Office use)
5(0 X 1. 1+ 1,1 ro y1 S+ t .. .•
r .
LEGAL DESC:RIPTION @az use uoly)
LOT BLOCK ADDMON PID
OWNER _
(Nan) /.A A h I I / 0 C L. G_ (.(. L� (Phone) a-K t/Vi
(Address) �
APPLICANT
(Name) (Phil ne)
(Address) 12850 Chestnut Blvd. •
A .52-44ee, -4 55570 (M,) Op Code)
f( 52-445-1803- .
(Contact Person) I Ovrr :,(,.- (Phone)
APPLICANT SIGNATURE' L DATE (d
.”+. 7,
COMPLETE BELOW
Qoundty - Type of Fixture Quandty Type azure
Bath Tab with or without shower Rough-ins
Dishwasher
,0 ,
' Water Heater ..Floor Drain _ Water Somas •
- Lavatory(Bathroom Sink) • Stand Pipe('Wa .Machine)
Laundry Tray(1 or 2 compartment sink , Sewage Ejector
. Shower Stall • Backflow Assembly
Sinks .: ackfow Assembly Test
Bar Sink Lawn Sprialder
Water Closet(Toilet) Other
FEE SCHEIiaLE
ladaskial,Commercial 8t y 1%ofjob cost with a$49:50 mime= " Now One&'Wm-Family $149.50
Additions&Alteraticas $4950
The.•Minnesata Statutes§3268.148 $ i3uildiniPennit#
,. "SURCHARGE"has been extended - —0
The minimum surcharge for PLUMBING PERMIT FEE , $ g
"fixed fee"permit is - STATE SURCHARGE ,,$ . t , L�.
. . TOTAL PERMIT FEE $ 5,)r 50
•
This Applic!dou Becomes Year lidding Permit Whea Approved Paid 5.7) ' No. 7 i
Babas Official - Date •
` sedge for all laspectirms t - t an-ria
4646 Dakota street SSA.,Prier Lake,bliamesota 55572