HomeMy WebLinkAboutPLUMBING PERMIT 16-0552 DATE TIME
CITY OF PRIOR LAKE SCHEDULED e.) I ��%
INSPECTION NOTICE
ADDRESS !..3—D 0 Ifo . ---1:-. .
OWNERCONTR.
PHONE NO. PERMIT NO. J
0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNNINGDATION 0 ME
❑
FOOTING 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
we Vof
COMMENTS:
WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL 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
PR* 56 , Jv , , � —'433 '
d
� e�l ��� Date Rec'
6:41
CITY OF PRIOR LAKE PLUMBING PERMIT
Le,02 5:26. /6.
I. Blue File PERMIT NO. 66.a
2. Gold City
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
50100 --o p S+- , S E R S.a
LEGAL DESCRIPTION(office use only) 1
LOT 2+3 BLOCK CO ADDITION PID 5C� 0030
(Name)
NaDari(l (r- ( oLrto J.QX)JQ-n (Phone) / 573 ')73
(AddresSs) S 3 off.
APPLICANT �y /� y�/
(Name) nZ a'n (Phone) l �9-7 7- i-c o
(Address) 9(900 13 6befis vi Ile/ IAi 5-5-33 7
(Address) J (City) (Zip Code)
(Contact Person) All / # al'27 (Phone) l -c2 7� 7^l/-L,/
APPLICANT SIGNATURE / �'' ' 1/6""z-`- DATE
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher I 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) 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 $ 02/9,;2_,/ Building Permit#
PLUMBING PERMIT FEE $ 4/9; SV
STATE SURCHARGE $ $1.00
TOTAL PERMIT FEE $ SO. �O
(Office Use Only) ��
This Application Becomes Your Building Permit When Approved Paid t'f .so Receipt No.
Building Official Date Date 5-‘
� 4 /( By
24 hour notice for all inspections(952)447-9850
4646
� �/
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372