Permits - Permit# 10-11P - 4341 Channel Road - 1/1/2010J1JL__e0_eb10 eG; eu UTIWK b1ee73bb400 t . bb
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VITY OF SPRING PAJSK
Noise Ordinance In Effect:
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4349 Warren Avenue Spring Park, MN 55384
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Phone (952) 471-9051 Fax (952) 471-9160
Monday - Friday
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before 7 a.m. and after 10 p.m.
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PLUMBIFNG PERMIT
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Weekends/Holidays
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before 7 a.m, and after 8 p.m.
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DATE:
PM No.
Pipeiayels Card No.
SITE ADDRESS; L(SLit
OWNER /\ 0-
PLUMBING C NTRA T R Name / Address 1 City 1 Shift I Zip / Daytime Telephone
ESTIMATED VALUE
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CLASS OF WORK (x ) New ( ) Addition ( ) Alteration ( ) Replace
TYPE OF WORK: Residential ❑ Commercial
3. Water Closet (Toilet) _ t Bathtub Roof Leader -Rainwater
Lavatory (Wash Basin) ;2— Shower Drinking Fountain
1' Kitchen Sink & Disp. _� Dishwasher Lawn Sprinkler System
Water Heater _� Clothes Washer Water Meter
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yt Gas o Electric �_ Water Softner Water Connection
1- 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': $
State Surcharge: $
$
Total PLUMBING Permit: $ ACC ��SL
'Minimum Fee of $50.00
Skaftuni of no aWic don by its Wpa1 pmporty owner or a u msed amtranor• as ft awns s M ne6nism is mukW and siMmiia. the City Zarung AdrmnrabatiX er prea amd =pd Dming QMM of dMW.
to dotter uporl Qt6 omperd to perform needed Inspemons. Fstry may be wiew prior mace. I hereby eddlow isape Mat I haw road Oas application and anrro dqt du irAermatim tsm aflC CorraR to Qts teat or my
Ietawwpo. I hlrvw aprm that as work performed will b6 #I awtitdano wo approved plan:. *0011 adns art mnmtivts and td abide by d ordineneas of me City and the tar- of ne 5tato at annesm regarding more
tek6rr pine l to day permit 1 agree to pay ore plan rarlewr fees even 910 - not to Iueaead wstn this wwa ParrrO ettpitm when work ie ran omnrrte, with l eo days hom date of psrnm rswmd. ran balding and
woft is SAOweed. apgrtdonod or not kmpwati Ibr ISO days. worn beyond or wM&A a permit or MBPK bn wut be waJ.a to a penury
Call UNSPEC Inspect: IS at (952 "2-7520. (24 Hour Notka) 8:00 a.m- - 4:30 p.m.
SIGNATURE OF LICAN DATE: 2-7 /a
PRINTED NAME: DATE: Y7 0
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