HomeMy WebLinkAboutBuilding Permit #00-0087
DATE RECEIVED
FEB I I 2000
. DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS r
W () b / fLNlJat/.,r fu, J. .1
3. LEGAL DESCRIPTION r
LOT ..s-- BLOCK
ADDITION &:i.y /V w ~ r ~ r
4. OWNER . (Name)
~
5. ARCHITECT
(Name)
6. BUILDER (Name)
l.J~A/Jf11Q /VA/'
)JtJlnfJf
7. TYPE OF WORK Fireplace 0
New Construction V Alterations 0
Chimney 0 Misc.
'a. PROPERTY AREA OR ACRES
Sq.Ft.
666
CITY OF PRIOR LAKE M A' N F, l,;c 1. White
BUILDING PERMIT, #- 00- 00 84- ;: ~:ow
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
File
City
Applicant
Permit No.
00-00"07-
..
1. DATE
_~ - J I -;Z () ~ ()
/'/~ ^Z5.D
BUILDING Ir,IfORMA liON
11. SIZE OF STRUCfURE
(Height) (WfiIlh) (Depth)
12. NO. OF STORIES
;2-
c:l NP
PID~.5'-..J '5 -oat-o
adt/
13. TYPE OF CONSTRUCTION
(Address)
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Address)
(Tel. No.)
(Addr~s)
/315 rla:z,. J>r
C r;..~ 9 tllV IJ7 IV
~tic 0 Deck 0
AdditioK 0 Finish Attic 0
(Tel. No.)
I,s' ~ yu{, ..J.f'l()O
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
9. PROPERTY DIMENSIONS
Width Depth
17. COMPLETION DATE
-
1 O. CULVERT SIZE
Yes No
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for
the above mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building icial can revoke th~ermit !1just cau~eJYrthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X . V ~ JYS-t? ~-JI-O()
/1 /7 Signature License No. Date
V
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
SFIt
FOR ADMINISTRATIVE USE
Back
MATERIAL FILED WITH APPLICA nON
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
Side
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION -.I C>O .&":0. (')(""')
/
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
/ ()() . (90
J 00 "C90
3s . SD
Ga~R ~~~It.. ................... $ 40 -06
Thi eco e our Building Permiel{hen Approved.
By - Date -Z -11-"2000
Certificate of Occ~ncy
Water Tower Fee ........................... $
Water Tap ................................... $
-C)-
Builder's Deposit ............................ $
Other ......................................... $ _
Paid Total Due ...................~~I~;~o$ii ~~[ ~
Date ~-2 -~ By ~JJ.
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when
sign b the C' P nner constitutes a t~mporary Ce~:e LEniiblJPliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
. Planner Date Special Conditions if any
Permit Fee ................................... $
Plan Check Fee ........ ..................... $
State Su rcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Issued
City:
Amount Brought Forward ... . ... . ... . .. .... $
Park Support Fee ........................... $ ~~. eo
SAC ......................................... $ J I rl 0 - ~
8~~ .7..15
5"lls, .7 f
50 .00
Collective Street Fee . .. . .. . .. .. .. .. .. . ..... $
Sewer Tap ................................... $
$
Pressure Reducer .........~............. $
Meter Horn................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
l2S.0D
/. 20-0 ~
, lOa .9-6
46" l <90
24 hour notice for all inspections 447-9850
The Center or the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
\ \ E I \,~:~ 1'-/ t f~\~ "'\-J '\J
---', I I I .'
~:::-~/ I { Ii
"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
:; (' ;
'-..___'/ ',.....,/ L_ '--../
~i i .\/ I
I L- '1 1
i
\
'.
/. .-- --- r-")
;-\ I t_ ~~_
l---_l\ ( ~-
Accepted
v"
Accepted With Corrections
Denied
Reviewed By: ~;<-1 ~N1.-1
COL
a!: tllW 'I"S ~{c-.4 "0 ~ ~}\\~c9vlS ~
\ ~ (^ .,()I:J. .~ Qj(JJIpueAJ ()~J .,-~&v
~ vttA~'fw ~ ~Mbtwll
~rO'Qo~,.J t)lJu6\0/~J Lle- w~ ~
&tWMe-.<;. +- lhd ~~.<_ ~~v~ ~
Date:
Z,'19i90
liThe issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid. II
The Cenler or Ihe Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
w 6 '\~ 5 \/ A \, "
'7 / { { / no
I 1-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~320 GLVNWAr'EI<- ~<-A'v
I
Accepted
~
Accepted With Corrections
Reviewed By:
v
(I~ &/
{/
Date: 2 -/7 --?.O e> a-
Denied
Comments:
liThe issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
Tht Ctnltr or lh~ Lalit Counlry
. White -.Building
Canary - Engineering
. Pint(. - Planning
NAME OF APPLICANT
. .
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
\/VG I\JS~/ A \J ~
/I /. I / r';Q
( [.
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the.building permit
application for construction activity which is proposed at: .
6320 6LVt\JV~A ,-t,K \ "<Afl /
f
Accepted
/
Accepted . With Corrections
Denied
Reviewed. By: j,/", TEA.. EHtt~NN
n_~_. .,,1._1__
Udlt::. ~: uc/
Com ments: Sa. itnM .1'" FOil 331 c.I ~ l. VAJ.v1f:IE/l.~ h,tt.. ,q" -./0# fI4. 4l1S.
I
JA1FQIt~noAJ f Cl.~
liThe issuance or granting ota permit. or approval. of . plans, specifications and
. computations shall not be construed to be a permit for, or an approval of, .any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. . Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisd~ction shall not be valid. II
'"
JobAdd~ :nj.0~/6frMV
Heating Contractor ~%, tf)~~
Name of Tester r7 .... ( ~
Date h -Ier .. DO
Percent 0 t. 7
Percent CO2 ~
Percent CO ~ 0
Stack Temp. 3:5 5"
":t
I
CITY OF PRIOR LAKE
o PLUMBING PERMIT
Applicant: G~ 2 - ~
Address: l.YiL/C ~r::Jf1'tN'--"- -rrt..L-
.' Signature: ~ a ~......L-
Legal Description: Lot ~ 5 Block ~ Sub qLYNN~
Site Address: ~=ZO ~ <-~ T~.q II- ~
Building Permit # Q[) - ~ PIC # 2..5 - :~nr:::: - ()O PJ-O
NOTE: This permit ~m not be processed Without complete information.
FIXTURE UNITS
This pennit is ..",...tee! upon Ihe QPrus condition tl'Iat said
contractor, sball eomply in all ~-.I.....CE5 wiEb the ordinances
o( rhe Slate Plumbins . e am1dm~ ~_.'_..lf. .
RE ' . '3 7llllL. 'DATE,
,
All~l
MAR. 6.2000 11: 14AM
GENZ RYAN 6513226147
,... Cft!.... .r ... a.... c:.....,
.'
. ,
Quantity Type of FIXtUre . Quantity
?- Bath Tub with or without shower ~
, Dishwasher I
\ Floor Oraln
~ Lavatory (bathroom sink)
l laundry Tray (1 or 2 compartment sink)
Shower Stall
\ Sinks
Bar Sink
'0. . o. ; ~ Water Closet (toilet)
J .
rl:!; SCHEDU~
'_ Industrial. Commercial & Multi-Famny
(1 % of job cost. $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
state Surcharge
$99.50
sse.50
GRAND TOTAL
:~
. .-.
Call for all in ctions 24 hours in adViUlce.
~
.1 I
\. .....J
NO. 475
P.17/17
I. ilia R1c
2. GoI4 ee"
3. 'r'" AppllQIK
# ~O --00~L
I
Phone: fJ S I .. #J.?5 - II t/(../
~n~
Type of FIXture
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejedor ,
Backftow Assarmly (RPz. Cauble Check, PVB)
Baclcftow Assembly Test
Lawn Sprinkler
Other
$
$
s
$ .50
wrr\-\
( pP\\O G PE.\~~'\1'
SGlllLO\N .
!r~.., ~ rr;. ~r ~. ~ n -~ ,r.
Ii) .
v'/! MAR 6 29DD
16200 Eagle Creek Av. S.E.. Prior Lake, Minnesota 55372 I Ph. (612) 4474230 I FAX (612) 447-42~S
An Equal OpportUnity Empl~yet
FEB. 29. 2000 10:36AM
GENZ RYAN 6513226147
NO. 289
P.2/5
--. ....
YILLDW . ~D
&OLD. aT,
CITY OF PRIOR LAKE NO. 00 -ooro7
SEWER AND WA'rER !:'.t.~T
NOTE: Sewer and Water
contractors must
be reqistered
with the city.
APPLICANT: ~.Y)~- ~ ~ PHONE:~,-~~-\l44
- U
ADDRESS: \u.1US" ~ eo~ '1':'4.- ~J. u,..l.Jnri)ATE: z.-'2.q-O"O
'SiGNATURE: ~ _BLDG. PEIUUT .00-002;7
SITE ADDRESS: l2,'b20 6J(jn~ '..i1\:r.eL -r~ PIO' Z-S- 319~- OO~-Q
FILL IN THE BLANXS
40', 1
1. Estinated lenqth of water service feet.
I 'I
2. Size of water service inch(es).
J. Location of any cQu.plings fr~m s1;ructure,
feet.
(~
4.
5..
6.
Type of sewer pipe. ABS PVC X Cast Iron
Estimated lenqth of sewer lin~ ~r feet.
clean out (if required), located at feet
.s.tructure.
from
......_-....-:~'_._,-,1irir.-rl~'--___~~------_.
This
BY
apPlicai!i~ your
f--.:...=--- -
permit ~ften approved. /
D~TE: 3/7 (JO
.....-....-------" ..~...".'.,~;;;::=.....-
. "";iii===---
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either s.eweror water individually is $20.00 plus
$ .50 surcharq~.
. ;: . --:!."
* Sewer and water permits issued for new construction must be
recorded en-, the building permit card a.t the time of issua.nce
to insurer that no duplicate sewer and water permits are
issued.
(~
DATE PAID
RECEIPT #
AMOUNT PAID ~. ~~t~\'\
REC'O BY \~\\.O\~
. 4629 Dakota St S.E., Prior l.a~ Minnesota 55372' I Ph. (612) 4474230 J Fax (612) 4474245
AN EQUAL OPPORTUNITY eMPtDYER
~' ~ . -
~ Of PRIO" ~:':r(. . crrv OF PRIOR LAKE' l.,
~ ~~~. -162GOEeglecreekAv.S.E. PenniNo. OO-()O~0
-: . ~ Prior Llllce, UN 55372 . 7
~ ~ HEATING APPLICAnON I PERMIT Single FarnnV
a.. I
CommeRlal
Date 3 (0 no P1D to 2.5 - 3l1J5 - OO~ - 0
~ Sit. Addleas - 332ID h {)A(l \ I ~,,(J Ie- ...-rIP...AJ ,___ ~2.S.D Fee Sch.dule
~lol 5 IIIodl z.. Million. ~U!NWA1E~ LtJf)
ownetsName_l J '},~ 1\.(\ ~.<o
Address, !9PIs .P\PiZA ~f2-.., Sri'. 21m ~~
Hellllng Conlfadar. f?f.fiZ - ..l-~
Addless , LJ1U~ fn fnbt-t .:\ ~.e..ltl'.., lc..nJJ ~Q\l~
T.I....OIlel . lo~\-L\? ~-IILfu
FUlnace Make & Mod.I .J.c, ~ ~ ~~ tyPE OF SYSTEM
. ~ ")~" A"'- Warm AfT Pluts ~
Model Size, \1 eo.... A J ,-~-1 ~ Glavlr ,
Mechanical ,
AI, Conditioning , "'f......
Ven1. Svatem ,
HEAnNO OR POWER PLANT
Steam
, .
Hot Water 0
Radlallon ,
Spada! Device. .
Rep1ecement ,
Est. Comp. Dale ,
Buldlng Permit", 00 - no e7
~' H.lrrH
50 '. .. p~\O "'4 r.: ;=~, ~'1"
. !. O\~G PCI ,; ,.\
eU~ .
Racelpl . , '
['0.. Conn. Load ,
~ '.' Arl"'. II II /J..'~J#u-
\.0 Fuel N K' I "f)~ Flue SIz8 -, r..lV"" f J
N ' "
N
~ Supply Openings , I ,
11):
~ ReIllm Openlngt ,.,
<I \
~ Input'1t:;,6lX) Output")' lIDf')
.. ,
N .
Gi Edr.
l!)
Cfm..
E
<I
(T)
~ Aler81lonl
..-l
..-l Repal,.
~
~
~
N
I.D
TYPE OF WORK
Est. Cost $ .
HEATING PERMrr FEE $
~ STATESURCHARGE .
E .' .. ;':~.!.' "
TOTAl.:PERMrT FEES .
Other Devlc&1 .
New Construction,
x
rvPE OF STRUCTURE,
1. rtIIII[)
2. Cke'
1. Yc
f1!e
Cty
COIIIIKIaI
x
1\'(~F.,nUV
Industrial
Muhl-FsmUV
Olher.
Public
r nduslrlal, Commercial & Mulll.Famlly
ResldenUal, Heating & AC
RelldanUal, Healing Only.
R.ldanlal, Gal Hlsplace
Resklentlal, Ad....ons & Alterallons
ResJd6ntia~ AC Only
1 % 01 lob cost ($39.50 minimum)
$99.60 .
$84.50
$39.50
$39.50
'39.50
co
I
Remember to add the Siale Surcharge on the bottom 0' lilt. appllC8~I~.'
[
\ \,
The. pJ~. of your h&at~ng permlllncludes one rough'&\ and one 'rnalln~~lon.
I'
AddOlCH1allnspeclons wUl be bllted at $3&.00 each. _.
Hous. Heating Teal Record musl be IUbmlfted wllh bulldrng RIDJl1l number be'ore buDd.
Ing cerlillcale of occupancv wUI be Issued. .
,..i=-.T n_. r".1 ATln~IR ~~". URI=O with number 0' IUPPtv and return openings lis led per
.oom with CFM'. per opening. New slructure. o. addftlons send rIGor plan wIIh 5UPPlv
and ,elum loeallons shown. HEAT LOSS CALCULATIONS, PAYMENT ~D
APPUCATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE. MN 65312.
City HallJuslnea. hours ere 8 a.m. . 4:30 pm.
ALL WORK MUST BE INSPECTED (ROUGfl.IN\tND FINAL) · CALL CITY HALL
447....230
I hereby app1v for 8 mechanical &y.mm, permll and I acknowledfJe Ihallha
Info,maUon above 1.1 complete and accurate; that the work will be In contolmane.
with th. ordinance. end codes 0' the clly end wUh Ihe atate bulldlnglmechanloel
codes; that this form does not become a permit untll stgned by the BUILDING
OFFICIAL; that the work will be In accordance with the approved plan In the
cale 0' all \'fOlk whIch requires revlew and approval oJ plans.
:3 ' /r)/ iD
~I ~ro.()
Date
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS .:rs.2:) c /~~ -
NATURE OF WORK N.e.U-) ~
USE OF BUILDING S FA
PERMIT NO. ~o DATE ISSUED 2 -17..-'2.000
CONTRACTOR ~.. &J\/'^.. \~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
r\ INSPECTOR
- FOOTING Ue..tk, \, ~ 11,,$. _rJu
FOUNDATION (Prior ip ~aCkfill) gh
......
PLACE NO CONCRETE UNTI ABOVE HAS BEEN SIGNED
ROUGH~I S
- L/) ?)~
tli/cn
SEWER I WATER I SEPTIC
FRAMING ~.lJl~1AJ
INSULATION (
ELECTRICAL
PLUMBING ~ d; 6/~/f')
HEATING (if reqUired)p 'liD
FIREPLACE ,'1
GAS LINE AIR TEST . Y1;> ~~n/
(;/ f I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~
DATE
/ l
~/I1./~
FINALS
.~~
~, ~ 7It5J~
~, 7Iz:S/~
t
OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
GRADING {Prior to Sodding}
BUILDING ~e.f) f 6+.~, '''/~~(), 7/l~
ELECTRICAL
PLUMBING
HEATING
DO NOT
rPl LJ-t I DO
II t
SIGNED
This card must be posted near an electf leal service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
. V""-' ""..,~~.,;:\:~~.-", -~
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;"""~!:;.., :~iJ'>'-.;;.:'<-~.:\z, ';;.~l~r~';'-
I
,I
I
I
. .
DATE
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
7/iJlrjm. Q).:KJ
ADDRESS · ~ GL V,'I LlI" Lf-v-
OWNER CONTR.
PHONE NO.
PERMIT NO.
00 -Of)?J' 7
o PLUMBING RI
o MECH RI
o WATER HOOKUP
>>SEWER HOOKUP tr::\
~ PLUMBING FINAL ~
~ MECH FINAL @
COMMENTSm p~ ~-11 ~ +=.
~ ~-.J-.
(j) ~ ~ ~~ CkJ ,r'1~~ ~~I ,
~:___ ~-:()..,o-f LA--4-:t:J ~ M./! ~
~
o FOOTING
o FOUNDATION @)
o FRAMING t<'
~)NSULAAION t\
~INAL<B\.
D SITE INSP~N
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
D GASLlNE AIR TST
D
~~( <D ~"~'~,,.- I
~ (" W,~.
..;;;;:= --",~ I\~"ii -":I~t.~ilil' .. ~::. .
-r:C~O( ~ 1JO"t, ~~.
,. I
,1"J!I"I.-".~--'.
oL -
~-- 0
~~
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
D CORRECT WOR~ALL FOR REINSPECTION BEFORE COVERING
Inspector: er::!'( Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
DATE
#
GlytJPlcdv ~i
CONTR. ---LAJ t'.'1 ~ hJ a V1J"\_
tZJ- ~tf7
~RAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ~3?;iQ?t?
OWNER
\
PHONE NO.
PEJWIT NO.
o FOOTING
o FOUNDATION
~F NG
o ULATION
FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~,..~.J~,Y /~ /lP
<Lt:::::- -.....
TIME
./
/
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT w;;)'?NSPECTION BEFORE COVERING
Inspeclor:~~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDUlED
Idh()/~
7
A . T;"
ADDRESS
S3LCJ ~ '/~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
D-R?
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
pi) FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~ ~ 'iuu.-
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~r
/
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYl
INSNOTI