Permits - Permit# SP15-016 - 4317 Channel Road - 1/1/2015J
CITY OF SPRING PARK
4349 Warren Avenue Spring Park, MN 55384
Phone (952) 471-9051 Fax (952) 471-9160
PLUMBING PERMIT
ATE:
ITE ADDRESS: — 21 -7 C /_ a N / ,y) �
/V
WNER QAapt Af i G�
_UMBIN(3 CONTRACTOR Name / Address / City / State / Zip / Da,
40110M, &,QhQ4s 96
9
OF WORK: ( ) New
OF WORK:
Water Closet (Toilet)
Lavatory (Wash Basin)
Kitchen Sink & Disp.
Water Heater
Gas ❑ Electric
Ice Maker Line
Rough -in Future Fixture
Vacuum Breakers
Addition
❑ Commercial
Noise Ordinance In Effect:
Monday - Friday
before 7 a.m. and after 10 p.m.
Weekends/Holidays
before 7 a.m. and after 8 p.m.
PM No.
( ) Alteration
Bathtub
Shower
Dishwasher
Clothes Washer
Water Softner
Piping/Treating Equipment
Floor Sink or Drain
Sump
mbing Comments:
4[acc wQkr
& akr
Card No.
sA tyc� 3 ESTIMATED VALUE
163*75 1606,00
( XRepiace
Roof Leader -Rainwater
Drinking Fountain
Lawn Sprinkler System
Water Meter
Water Connection
Sewer Connection
SAC
Ra
Fixtures @ $5.00 each': $ M90MMM
State Surcharge: $ H.mae4
$
Total PLUMBING Pe : $
signature of this app icacon D Ine legal Irllrilum Fee Of $SQ t)
Y ee property owner or a licensee controclw, as the owners representative is required and eulhoriz
enter upon the property to peAonn needed impactions. Entry may be wilhoul prior notice. I hereby acknovredge Thal I oars react this epplifalion eZo9in Ada iaisi%ormel onsis we an rted to Ihe'Des�01d-�gle
uMer agree that all work per/ormetl will De in accordance with aDproveO plem, specifications and conditions and la abide by all ordinances of the City and the laws a( the dale o/ Minn la'-Ou' aregarding aPursuant
,this pemul. I agree to
pay all plan review, fees even N I choose not to roceetl with the work. Permil ex es when work is not ordinances
o with ity an from dale of
ulml
abandoned or not inspected for 180 days. Work beyontl or wi g P Pir
permit or inspection will be subject to a penalty, Ys Permil issued, or i - Oing an0
call MNSPECT fo in pections at (952) 442-75 (24 Hour Notice) 8:00 a.m. - 4:30 p.m.
SIGNATURE OF APPLI NT.
PRINTED NAME: DATE:
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
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THffS CARDUtt-ptvttlk M Y,POSTED,,,,,`.'.:_., "OUSPRINT GARK,
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Perm A;
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WEATHER :ANDPHYSICAL DAMAGE ,,,ERMVT C ARU
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"FORITHE DU �
RATION OF THISPERMIT ,
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Ad ress: e: Owner e, J V
Ic6ntraddr Name- em l,0A.4A,. e
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INSPECTOR: DATE'Issue : d`6Y
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-MECHANICAL.FIREPLACE U�', �OLUIVIBING, COMMENT'
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MUST CALL SC,HE''D' U!
P - .7 p It ivill expli
PHONE4952) "44277521
146°L-A',T:ER'"THAN ",'.T-'H' E BUSINESSDAY,PRIOR',.-TO',-THE ',INSPECTION bAY'-,','
2
tOdays after iiiva7,n-,,c-e.,-.All .wo�iktiusttomo,i-,i4�fth'theMN-State.�B6lid'ihg,icode'.',-,.� _MN LC TOLL FREE (888) 446-1801
Sp�.
MUST CALL SC,HE''D' U!
P - .7 p It ivill expli
PHONE4952) "44277521
146°L-A',T:ER'"THAN ",'.T-'H' E BUSINESSDAY,PRIOR',.-TO',-THE ',INSPECTION bAY'-,','
2
tOdays after iiiva7,n-,,c-e.,-.All .wo�iktiusttomo,i-,i4�fth'theMN-State.�B6lid'ihg,icode'.',-,.� _MN LC TOLL FREE (888) 446-1801
Sp�.