HomeMy WebLinkAboutBuilding Permit 00-0977
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Date Re~ ti\ i
CI:T 2 5 2lXXl '
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIAN
AND UTILITY CONNECTION PERMIT
(Please type or print and sign. at bottom)
ADDRESS
/ fa '3 &; 'f V I"~ll' c.
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White File
Pink City
3 Yellow Applicant
I PERMIt NO. nn-o cp..:tJ
I I zoN;Jl;mo<u,,) 1/
C v/I!e
:513
Bv 1L,tjl../j
~ G t!:J
.Pi'rNew Construction
OLower Level Finish
He v'\ e..
(iI"V
o Fireplace
L,I '5/. Z~
7'5"1. "2 I
75.c9C>
160. t:) 0
Iou _ 0 CI
'l<. <="r.J
<:(0. ()CJ
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ODeck
LEGAL DESCRIPTION (office use only)
LOTSBLOCK3 ADDITION CqrJ',v,4-L.. f(;cl""
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PID 2-5'-335 - 025 - V
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(Phone)
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(Phone)
/" ('] - 1 60 ~ '(Z I \...
S- SO Y 9
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 y.....y.....) 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 official can revoke this permit for just cause, Furthermore, I hereby agree that the city official or a designee may
enter upon the property to perform needed insP"W
X~~na!~' . contrac~,~~f::No f(Q ~~;.-(H)
. , V~ ,. 150,000
$
$
$
$
$
$
$
$
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
o~~s ~it?n :;~mes Your Buildmg Permit When Approved
fJ r;~ It') - <7-?~
~
Bmldmg QHiclal Date
OWNER
(Name)
C'tf\
(Address)
BUILDER
(Name)
C,jY\
rl. 9C/9
(Address)
TYPE OF WORK
o Misc.
,n60Fo1t4
J'Itt.A/
OPorch
ORe-Roofing
ORe.Siding
OAddition
OAlteration
OUtility Connection
PROJECT COST IV ALUE (excluding land) $ lSD, () 00
,
I Park Support Fee
SAC
#
$ 85C>.00
$ 1,1 t'JrJ (!,o
$ L45-00
$ 'fS .00
$ 11~,n '''le.>
$
$
$
-
#
Si~9
Pressure Reducer
I".
,
Water Meter
Sewer IW ater Connection Fee
#
I Water Tower Fee
I Builder's Deposit
I Other
I
#
700.0'0
I , .s-~ .~ e,I I
I
'7. 7t,L0.1~1
TOTALDUE C//UGD 11"'00 $
JIft;t,;,~ .._j",.,;", .-'''&,..0 "~' '
I Paid ~ '7tf.~ q{p I ReceiP~. ,38t...c:t'4-
I Date . J I. z.1111n By /,
,
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 signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
./~ l),j~ft:U ~~~fb.A~\
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
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Th~ C~nl~r of Ih~ L.k~ Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
r f M f-/()/-'!6.'S
/ C. 2'5 - 00
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
. " 01c3~fb
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Accepted
C~
1/ / (!,TD K I fi Ii (l,J1) k l! 6
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Accepted With Corrections
Denied
Reviewed By:
LLL Date: / /-j-()O
5 ee.. reVerse. StcJ.~ ~ odJ,":t:i"aM rrl'tJimai:ii5/).
Comments:
.-;.;,-- .
"..........................-... ..-
.5~ /hTAC}I/YJI3!/73." I) fi,vI/l.6eq.o.q .MsfEC77[YIJ ;IiuflJrcmflTiJtV
z)6Rn()l/1J6 flAnJ 3)~{)(J OwrRol..jllt1l5tJee3 ")E(2IJSlrN~ fU;/I/
"The issuance or granting of a permit or apprQ.val 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."
. ..$~1;
Thr (~..nln of Ih.. La".. Counlry
bO.LA Il
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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Accepted
Accepted With Corrections
v-
Denied
Reviewed By:
~1J~~
Date:
Il/g I" ct:J
Comments:
M'vV\)\I\.u.AM, 3DP\ ~k_ w-~LtJ\~,
?-.L{ f=-, ~~ ~ I;)-V\AH~ I",I~ ,LvwA
(Z~f!), k) 10 ('J~,
A-/~, -t- {~ \j\Ap~ld ~tJ~D~T
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"The 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."
~~
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Th.Crnlrroflhr L.hCounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~ ' M HOH6!5
/0. 2- 5 - 0'0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/fo3b6 VI (!.TDJeI/t
WrZI/6
56
Accepted
Accepted With Corrections '<
Reviewed By'
/
Date:
10- ~/-z-e,
Denied
Comments:
I. ~~ ct.J( Cl~ .tc.. ell 0..- ~
"The 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."
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Perm~ Ne. U 0 .<1ll
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
';JalO ';)..-1..,- \ PlOt 25-.335 - 025 - ()
o..Sfte Address \ \,:, lo 'b \) i l \- (\,..: I.. c.. '" r \J q
fD.aI ~ BIod< 3 Addition ~"" ~i\:" . \ $..,,,\,, c... S ~
ci:lwnots Name L ~ '<"\ \\- I.) ~ '( S \..\ :" f t~ ...-~
z
Address ;) 'b ~ t.I, 1\.\ \.-J '1. \... \:'4- f\ e ~ -S-'C _ ~
Healing Contractor ~\-'V'" f-t; ~ \" L.
Address \\.o~)/,O \...l <>...\ ["",oJ A.Jt
<1 O;~- \\~I- '8b'l
Pf',::'_ \.L,/~
Telephone .
Furn_ Uaka & MocIeI (lI...c...:. <......._
Mactel Sila .1'\-1{ A - I N:'\
<55 5~':)
TYPE OF SYSTEM
Warm AIr Planls X.
Gravity
Mecllanical .x
f!Vt Condftloning
Venl Sysl8ll1 .
HEA11NG OR POWER PLANT
Sleam
Hal Water
Radiation
Special DllYicas
Conn. Load
Fuel~J.-t
Supply Openlilgs
Flue SIze 6' V L
,~
~
Output~~, \}~
Return Opening.
Input 11l~ , Q~
~ .
H
<I::dr.
~lfm. ,\ ,,\)
w
:E
OIlier DeVices
TYPE OF WOJIK
:E"\Itlllation.s '
0..
N .
~Iepalr
.....
tS. Ca61 $
)(.
Replacem en!
'New ConsllUCllon
Est. Comp. Dale
~aaC,'\~ Buid"llIgPermU {JO -()97i
.- wml.'-: .
...~~
.....
~1EA11NG PERMIT FEE'
N
uiiTATE SURCHARGE .
.50
eJ'OTAL PERMIT FEES $
L..
Receipt t:
,
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I. Pi..
l..GnEo
J. YeUow
F'm
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0,_
TYPE OF STRUCTURE
Single Family )(
Two-Family
Industrial
O_............:...J
Fee Schedule
Induslrial, Commercial & Mulli-Family
Residential, Healing &. AC
Residential, Hllating Only
Residential, Gas Fireplace
ResidenIiaJ, Additions & Alterations
Residonlfal, AC Only
, Multi-Family
Public, Other
1%'01 jnb cost 1S39.50 minimum)
599.50 PLEASE NOTE:
$64.50 Air Conditioner Unils Cannc
$39.5(1 Encroach Inlo Required Side
S39.SC Yard Selbacks.
S390SC
Re,., .. ~., 10 ad<:! the Slate SUTCharge on !he b<lUom ollms application.
The prico of yoU/' heating permit Includes one rough-in arK! one final inspeclion.
Additional inspections wllI be billed at $35.00 each.
House Heating Test Record must be submibed with 1IIiIlIimllW!l!il.!IUl!IbA! before build-
ing certificate of occupency will be issued.
I:IE6I CALCULATIONS REOlJlRED with number of supply..d return openings IistecI per
100m wIlh CFM's per opening. New struclures or additions send 1I00r plan wAh supply
and relum Ioc:BIons shown. HEAT LOSS CALCUu.:rIONS, PAYMENT AND
APPUCMJONS MAY BE MAILED 10 THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372-
CiIy Hall business hour. are 8 a.m. . 4:30 p.m.
All WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) _ CALL CITY HALL
"'7-9850 FI<< Lf4"7. 4-z..4.5"
I hereby apply lor a mechanical sysl&ms permit and I aelln. '.;. e Ihalthe
In1armation above il complete Bnd accurate; thatll.e work will be in canlOflllance
with the ordlnsl\Cl?S ,and codes of Ihe cily end with (he Itale bundin,,'mechani~al
codes; thallhis form does not become 'a permit unlR signed by the BUILDING
OFFICIAL:; thalltls work will be in accordance with the e,., ' ., ; d plan in the
case of all work which requires review end approval of plana.
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~7m'
BuDding real'. Slgnalure
'_'__'_n,.~_ ~~_.___ _..
~-~ - \
Da18
2-(, -~ I
DIIe
00 FRI 08'06 FAX 7638621223
12/01/ '
OJ.'J.l/911 ml "9: 24 FAX GU44U24.!
~001
em' of Plllo, UIE
~OOl
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....-- .. ---
----
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CXTY OF PRI~ LOUtE
SBIfER AND IilATEJl PEJOal'
NOTE:
s.w Hr._..QO - CJJ 7
S.V.:r and "lIIter
contractors .lIst
be reg1ster~d
Witb the City_
)( APPLICANT: ID CXCf'/VArINC-, , INC - ""PHOIIE: T-~"'t -43'i3:2.
,.. ADDR~s: '~l~;~2.N/) AVE. COoN RI'tPIIifDAT'E: _"
.; SIGNJIo'l'fJR;- ,", ,"-"" 6 - .1..hAJ _SLl)(;. nRHI'r , DO -177
X SITE ADDRESS: \ b:2>Cc,'6 \}ic..-\r-'if~tJ r"^-l' D P1:D#_25 -3:<:5 - OZS" _ 0
FILL IN THE: BUNJl:S.
2. Size of Water service
1. FSltilllated lenqth o~ t"at:er ssrv.i.c:e. ~
.t..et.
4.
5_
J. Location ot' any c:ou"linqs :froll\ :IItru<*ur_.
incbC...,_
'l'ype of s....er pipe _ Us
Esti.at:ed length of =~.r
f..t.
6. Clean out (i~ r.quired). located lit: t....t froll!
structure.
:: .==.:::.Jrt;.~ "~'t .t~-:::'..:--- __c_
~~.:... ~~~::;:.. ~~:~ ~~t-
~ .50 SUrCba~.
$ JS.SO ' TOTAL
PVc X
lil1e ':Y)
-
Cast Iron
-
teet.
.,
Fee for either sewer or water individually is 520_00 plus
~ .50 surcharge.
,.
Sawer and W&~.r p4rmits 1Ssued tor new cons~ruction must b~
recorded on tb~ bali14in9 pe.l"IIIJt C"R iII't 1:b-. t!l'1e o~ i.."'\lancoe
to insure tbat no d.upl ic.te seVer "lid vat.. pel:1Dits ara
issued.
OAT!: PAID
R.EC1:::rPT 41
AL....,.,... PAID
,'10-.N~~ _
~\W~ _
REC'D By
16200 Eagle Cra-k Av. S.E.. Prior lake. MiDII1:5og 55J72 I Ph. (612) 447-4230 I FAX (612) 447-4245
All Equzl o,.,w..,..lIi\:l &..pIr>.I''''
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicam: S~'nI2..\I2..' P\un.biC'\9
Addl'8S.9: Ll~co Ad, \Of'\ C.ir~\Q... '5 <;;_
Signature: ~ ? ~
Legal Description: Lot 5 Block 3
Site Address: lit> '3{,,'I: I ),'c.JD6a. Ql.Jrva..
BuildlngPennit# n()- OQ7i PIO# Z5-335-()ZS-O
NOTE: Thill permit will not be proee$Hd without complete information.
'Roo C..l... D' l!tor ..... C..IM..,
~~~
Quantlly
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t. BI\IiI PW!I
.. 0010 cu,.
J. YcUo.. ~....
QO-OCJ77
PPNo
,Phone: q":)-;) - "I\( '} ,lc7 3l.J
p, '-0. l_c..Y.-,,--
Sub MlwttJA1... lUOe.e .~
FlXTUREUNrTS
Type ofAXlUre
Bath Tub with or without shower
Olahwllsher
Floor Drain
Lavalory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Slnka
Bar Sink
Water Closet (toilet)
FEE SC~EDULE
Industrial, Commercial & Multi-Family
(1% of job coat, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
Slate Surcharge
QU8ntity
Type 01 Fixlur.
,-J
/
Rough-ins
Water Heater
Water Softner
I
Sland Pipe (washing machine)
Sewage Ejector
Bacil:Ilow Assembly (RPl, Double Check. PVB)
Baekllow Assembly Tesl
Lawn Sprinkler
Other
-,.."-'
S99.5
$
$
$ .50
PAID WITH
$ . SUIL.DING PERMIT
GRANO TOTAL
This pennit is panted "pall 111. "pras c:ondition 111., .aid
c:on_, sllaII c:omply in all rupect.s ..;dl tho onlilWlc"
ofdle Slala P1umbiftlfW rc_n..lbereof.
- 'RE -Z--~ -0 ( DAn!
A.lI.I:..",~
Clll foc all inspe/r;ans 24 hours in advance.
16200 Eagle Crc:~kAv. S.E.. Prior Lake. MiMeSOla 55372/ Ph. (612) 447-4230 I FAX (612) 447-4245
Ao Equal Opponu,liry Employer
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS .1J.~l,Jl:l. U,'dnH'CL C'(J~
NATURE OF WORK - ~f:"D v-J............
USE OF BUILDING <;rfl
PERMIT NO. OO-() 977 DATE ISSUED _/f'!) '7(-<~(!,
CONTRACTOR C....n.~...
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING I ~, I /~/~ ~
I FOUNDATION (Prior to Backfill) I 13 - 0'?::t I / Jo~/e>n
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
t?,. \J 4MIJ
v/~ ~: l
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
,flliol
;.1;;!jIJ/ fg-. &) 18/~/
I~~I
I ~c2/IS;01
wle..1 ffR-. d/7 I tJ I &. :;-I:J-f 10 I
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GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
I /II IJ
I --g \\ (LvI.I/
I ,
I ~ ~\11l.A1'4
I -g\l~
OCCUpy UNTIL ABOVE HAS
NOTICE
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Iw~
"
g~CJ.-{)(f/
41074- )0' & p~ ~O)..
I I -/
41;24 01
, '
4 024 OJ
BEEN SIGNED
This card must be posted near an electrical 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 ~;QO.4-M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
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DATE TiME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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ADDRESS
/ b~~8 V"clor'" C.'HVC
PHONE NO.
PERMIT NO.
c.. IIV\. /-!O,l1e)
C)(:)-977
OWNER
CONTR.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
(..,rVt~ ~ - 0 it INAt. I. L/'<-< III
, .
Iw~ &"d-- ~
fJl'::t!ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector~' __ Ow:er/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
JliSliOTJ
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
10 dd-O( I6T
/1" 3 hY (/P.-~ (!~
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
0- C; ~7
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLINE AIR TST
o MECH FINAL 0
S'l-T- ~ ~
COMMENTS:
fYl~ yC;;;< 8'"S"8' 7?9i!J
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Jr+J!.. ~,tAU- (J,-uL. ~ ~.
-
-
fl.) ~J~ ~ in 4k-J t1't./-IJA
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K'f'./-fUfl/cL ff)eri+- U I -
fH~ d' - /~) P.f -Ix, ~
v- .~ .&-.r:U~
/ JII
,X;'TIJ 0 T. c.. 0, --t;.Q1 Pl.".! 0 &
o WORK SATISFACTORY, PROCEED"
o CORRECT ACTION AND PROCEED'
., CORRECT WORK, CALL FOR REIlIsPECTlON BEFORE COVERING
Inspector: ~ Owner/Contr:
/ '
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOT/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
4,24.01
/.'I$"'
ADDRESS
/ & 3(, 8 y'1 c::roR../,q e.-t/-<<I6
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
tr~FINAL
/D SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
~EWER HOOKUP
k PLUMBING FINAL
S'I MECH FINAL
00,0177
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
e:- M \\'\€er
l
~n~p1f ~k
1M F~i1>..r .c.,<>al-ect
CORK SATISFACTORY, PROCEED
. 0 CORRECT ACTION AND PROCEED
o CORRECT WORK, 9>-LL FOR REINSPECTION BEFORE COVERING
Inspector: -:J\ - \ ~ OWner/Contr:
CALL 44~-9850 ~OR THE ~EXT INSPECTION 24 HOURS IN ADVANCE.,
INSNOT/
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
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