Permits - Permit# SP16-0007 - 2401 Black Lake Road - 1/1/2016r•
FEB 18 RECD
CITY OF SPRING PARK-
c
c.
4349 Warren Avenue Spring Park, MN 55384
Noise Ordinance In Effect:
co
Phone (952) 471-9051 Fax (952) 471-9160
Monday - Friday
Z
G1 0
G)
before 7 a.m. and after 10 p.m.
O
PLUMBING PERMIT
z
Weekends/Holidays
3
before 7 a.m. and after 8 p.m.
-�
DATE: -
,04S
PM No.
Pipelayers Card No.
SITE ADDRESS: ay 01 61 Okcv- Lake R d
p�0030�
OWNER K( )n(3 ,- anh4 llawaayz-,
PLUMBING CONTRACTOR Name / Address / City / State / Zip / Daytime Telephone
ESTIMATED VALUE
7 d Ea an
M N 1
$ 500
CLASS OF WORK: ( ) New ( ) Addition ( ) Alteration ( Replace
TYPE OF WORK: XResidential ❑ Commercial
Water Closet (Toilet) Bathtub
Roof Leader -Rainwater
Lavatory (Wash Basin) Shower
Drinking Fountain
Kitchen Sink & Disp. Dishwasher
Lawn Sprinkler System
Water Heater
Clothes Washer
Water Meter
XGas In Electric Water Softner
Water Connection
Ice Maker Line Piping/Treating Equipment Sewer Connection
Rough -in Future Fixture Floor Sink or Drain
SAC
Vacuum Breakers Sump
Plumbing Comments:
Fixtures @ $5.00 each': $
gep►ace, gas Lk)CL . -
State Surcharge: $ / DO
h P-01
$
$
$
$
Total PLUMBING Permit: $ 51 .QC) Pr
o?
'Minimum Fee of $50.00
-�
Signatureof this application by the legal property owner or a licensed contractor, as the owners representative is required and authon— the City Zoning Administrator or designee and the City Building Official or designee to
enter upon the property to perform needed inspections. Entry may be without prior notice. I hereby acknowledge that I have read this application and stale that all information is true and correct to the best of my knowledge. 1
further agree that all work performed will be in accordance with approved plans, specifications and conditions and to abide by all ordinances of the City and the laws of the Slate of Minnesota regarding actions taken pursuant to
this permil. I agree to pay all plan review fees even If I choose not to proceed with the work. Permit expires when work is not commenced with 100 days from date of permit issued, or if building and work is suspended,
abandoned or not inspected for 180 days. Work beyond or withoul a permit or inspection will be subject to a penalty.
MNSPECT for inspections 7520. (24 Hour Notice) 8:00 a.m. • 4:30 p.m. '�( �(
4Call
SIGNATURE OF APPLICANT:
DATE: IIa II (o
PRINTED NAME:
DATE:
For All Rough -In And Final Inspections Call MNSPECT At (952) 442-7520 (24 Hour Notice)
For Sewer/Water Inspections Call City Hall At (952) 471-9051
mac2�C .to- AiIAISAZe I
Poor Quality Document
Disclaimer
The original or copy of a document or page of a document
presented at the time of digital scanning contained within this
digital file may be of substandard quality for viewing, printing or
faxing needs.
COPY