HomeMy WebLinkAboutBuilding Permit 04-0150
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
3. z. 04--
(Please!'P~ or print and sign at bottom)
ADDRESS
~ '1 Db ~ Dllj oJ{ PoJ--\r\
1ht \}jl1lih (\ lYdh
LEGAL DESCRIPTION (office use only)
LOT3 BLOCK ~ ADDITION
OWNER
(Name)
\.r/ l~~t.
{J.b. BDY- 81
l~t.
llwl ~
~ D\i g I
(Address)
BUILDER
(Name)
r.t
(Contact Name)
(Address) p. 0
TYPE OF WORK Jll1...New Construction
DLower Level Finish
o Mise /. ~. c... c"'G B3"
I. White File
2 Pink City
J. Yellow Applicant
I PERMIT NO.O~ . 0/56 I
ZONING (office use)
Ie/50
PIDz5.4-04-. 0(,8. t)
t..tk.o ) \^(\ vi
(~~tSo. ~bl-3q~Lf-
35DOtD ~
------
(Phone) q:Jo.. 4~1- 39~______
fu2; Mil
(Phone)
55DQO
DDeck
ORe-Roofing
ORe-Siding
DUtility Connection
DPorch
o Fireplace DAddition DAlteration
PROJECTCOST/VALUE (exc1udiogland) $ .:<9a,ooo
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 official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;terupoo ~;:?A~pections I D -, to 3-1- DLI
~gnature Contractor's License No. Date
I Permit Valuation I Z 90, (Joo,ool I Park Support Fee # $
I Permit Fee $ 21"1'3.50 I SAC # $ 1'5'50,00
~
I Plan Check Fee $ 142-5. 7~ I Water Meter Size 5/8'~ $ 300.00
I State Surcharge $ /45'". DO I Pressure Reducer $ 70.00
I Penalty $ I City SAC and WAC # $ 1'2.-00.00
I Plumbing Permit Fee $ /00.0'0 I Water Tower Fee # $ 700. co
I Mechanical Permit Fee $ /00. DO \ Builder's Deposit $ 1500.00
I Sewer & Water Permit Fee $ 35. 5"0 I Other $ I
I Gas Fireplace Permit Fee $ tfO. DO I TOTAL DUE Mu.e1J 3.11..04- $Q. /Sq. TPJ I
q /~. 7 Y /
This Application Becomes Your Building Permit When Approved Paid I~J ~('.r? 15 I
~ ~{./ 311~/of Date . 3-./'j.o ~ I
Building Official Date
This is to certifY that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when SIgned by the CIty Planner conStItutes a temporary CertIficate of Zonmg compliance and allows constructIOn to commence Before occupancy, a Cernficate of Occupancy must be
~ ~ V;..?~'/' ~~ t:d-f,
Plannmg Director Date SpecIal CondItions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Job Address 27lJI, ~
Heating Contractor .AJr .J)'i k,., j
" Name of Tester :P tJt/ 6
Date 7 -('--bY
Percent 0 'il.;l..
Percent CO2 9. '/
Percent co :;;'S-f!/fl
Stack Temp_ IJ~o
.
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~~
("White - Buildinij>
Canary - Engineering
Pink - Planning
-
Th~ ("en'... nf the I.Mkr ('lIullln
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
T C. ~OtJST12.-.
3. z. 04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Zqoro (l___OUGA f2. PATH-
I ,
Accepted
Accepted With Corrections
~
Denied
Reviewed By:
Q$u. .~
If .LJ
~ Date: 3//;Jo<{
cU.--f ~,
Comments:
"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."
~"
-
lh~ CFnrF< of thF L.kF (-ounlr}
~~
While - Building
Canary - Engineering
""-"'IOK __ . ~la"illnSl::>
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I
/.
1'---
L.__
. <
( Lf-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~- / '
,
.
1/\
I
, '-
1\ I j--t
Accepted
Accepted With Corrections V'
Denied
Reviewed By:
"
~~p
K'~ aP
Date:
s/I~1o t{
Comments:
I
"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."
Q~1
~ . Buildinq
~. - EnaineeriiiJ:!:>
Pink - PlannIng
Th~ ('~nl..r of lh.. l.akt' <'"ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,-(,
I -' .
('.'! ( 1\ . ~r-_--7i )
j U I \} -" I ,<:::...
z. G4-
-;>
.'
-~ .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
7 Of, !~ (, 'l (. I ) C) A (.-) F') 1\-1' LJ..
~~ J Lt" I.(~ ,~~" v l::j -- ,'\ r- t
/ I
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
IYY-/R
Date:
3 -!'2 -()4
,
Comments: -BPP Rp.verse Side for Additional Information!
See Attachments: 1) Grading Plan, 2) Erosion Control Mp':;l~llr".~
"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."
83/23/2884 85:85 9528816976
,.,{j4ri;
BOB JECHE
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(;,een
Y~lJow
1;'-'111
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ON (oRi.. we only)
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ZONINGC-l'
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pm.,
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(Phone)
(Phone) ?J f1 ')/llJ"1
81 fJ()m ~lfdoY1 N.A/~4' ,
ICily) ),,,. 17............)
(Phone) !if; r;~b~t.Jljfti!J
DATE :l ~ J). "'./.).IJI]~,
t;t~;?:;
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')':&;1') APPLICANT PLEASE COMPLETE BELOW
~Jir "'Size ~fwater service.' inches.
."..,.,:,,(I~f: . peahon of any couphngs from structure _ feet.
Y!il~; ":,':" .~' e of sewer pipe, 0 ABC 0 pvc 0 Cast Iron
r'i:' -,~~1:j\'Estimated length ofScwer line I..{ nfeet.
,:.' :~i' .",' . 'Clean out (if required) located at ___ feet from structure,
r;~lg:f~:I"I!l ~,_;,
v;,M .~(~) ,
~~~!cIe1i , 'Q~.r and water hnc connection
: 5"""... connectiOll only
;~: r,.' "~;~ " ;:"!/
i:', ~I 'l' ~'~I~~::1 ~ . (! ?
~::i:~?;;;:\:,;:' ,:(;::~:)~i~:':'~ ," :.:,,:, " ""..,~/:;,
'\',I'.~' '.. ~l'l r~,~l,~,,\, "'~.":;'.~i';:'."'.';'.I':?".
~, ., 'A~~': ~~}t!i4>',5, f~';'
t~J?" , ,'l;f~,:,t ;~. :"~-
If~ .. T
r"'~lJ
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! ~>,[!,~"^ppllc.tloll Becomes Vour Bulldln2 Permit When Approved
,:fi\(i!'''~if~' . "" .
:i""(")'" aulldl..Om.I.,
~~~I";V''l\'~~' +
~::~;",,~'~~/;..;~',;:::~i/%;:~:_'<:'" . ~ ';
FEE SCHEDULE
Industrial, Corn'l & Multi-family
Water connection only
$35.50
$17.50
Estimated Cost $ 9:::; Z)
Building Perm it #
SEWER AND WATER PERMIT FFE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
'-(;a..d
l+A~ 2 ,j 2004
O.(e
('-,,,.
'l...A'
, "~::!~,'
I % of job CO'1 with ..$39-'0 minimum
$17.50 ~,;
,so
. \I' {: ;~.I ' .
_,_.J'
PAID_
e~~wINQ\I~W;n.
";',,,(
I .~I ,
Receipt No.
By
14 hour notice (0,-..11 inspedioA,Ij (?~7.) .i41.~8~O. fox (952},447-4245
"
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04/23/fQ0~_. P1: 0)...
5073344811
--.... . ,..- ............ ........
CANNON VALLEY MOTORS
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PAGE 01
lWlJUJ.
CITY OF PRIOR LAKE
HEATING/AIR CONDmONINGIFIREPLACE PERMIT
Date Rec'd
'!'l....!"It ~ wiD! u4.....c boUlo1ll
IADDRBSS
J_ ~h .. (~<<f~
LBGAL OESClUPTION (ollla... otI!y)
rf#d
U:. s'-' I l'ERMITNO''1-7.5Q
ZONINO !olIkt lItO)
L.OT BLOCK ADDITION
PID
OWNBR
(Name) p<.. C th-?/r
(Ad4re:s.)
(Pboce) C/S2- _~tl 3'f'?(
APPLICANT /),~ 'r
(Namel rn.:r,~ y~ {hY.( '-h1~
(AJl4re..)fit/J;1J E. <"dA-(' _~f'- R-
(Conlla Person) P>1I r I~ /
. APPLlCAI'o"TSIOl\'ATURE _ _/1~
}
1 r APPLICANT PL&ASE COMPLETE BELOW
: :!IN!!W CONS~UCnON 0 RBPLACllMB'NT 0 AL'reM'TlONS JI.~
FUIUiACll MAKBA-kDMOOllL '>>41f(-~}?o FUEL.JLn1 .
F1.1Jll SIZl! :? I Ilk Ut'lml OPENINOS J1 tNPU1' J~~IJ' OUTl'UT /: i::/,tJI)
nl'B OF ~ . ~,,,J. HIlA llNO OR. POWEll. PLANT
i~lyAlrPI"'1I ~ ~.,"
oohanl<ll 0 RodI.,lon
ir Conl\lllOllinl 0 Spoclll Drvl_
onL 91..... Cl Odl.. 0..1...
(phone) 162-7~P .2'7]'7
b /fAr';f ttlJ- 4~71
ICl~ (ZIp Cede)
(Pholle) t?"i2-? S--, d-> 7'7
DA~ {j-zl-pt!
PLEASE NOTI:
Air COllcllttollOl' lJnill
C"""at Encro&clllnlO
bqlllrod SldIl Yan!
Selblckt
FIUPLACE MAXE AND MODEL
. ,.~.-.---- -------.--,,,-.
Raldontl.I, Hutlnl '" AlC (N... ConSll'\lcllon)
Rc,idenrl.l. HalinlOnly (N.... Con'\T1Jotlon)
'IE SCHlX>tlU
I 'Yo of jab COil Rcslclcnlltl, Gu Flnpl"".
S39,~0 ",inimum
S99.~0 tl.csldcrllial, AcldllIOll..t AI_10M
~.'O Raldmllal, AC Only
$39.50
539.'0
'39.50
Iftdultrlll, Commercial A MuW-Pltl'lil)l
Elltm.tecl COil S
Bulldln. Permit #
HEATING PSJt.M1T FEE
STATE SURCHAROE
TOT At Pl.1lM1T BI
S
$
$
'0
-'
_ ;7\1 ~r\!'ii U If'
< Q.1.'$ ~v "'~~.
. L' .---....1"..,0/;" Y
t' ~~~ ~.1'N"~ \7";~~ '- "
,?.,'~,.' .~~:.J; ",
tom.. Ut. O.lyl
This A.ppllealloll 800011I" You IIllkl\l'1 Plrndt Wile. App...ved
a.lI.I"I OlloW
j"
2. )o.r nolle. for .11 bllPooltou (951) 44t-n.!lO, hI (9$2) 141""1"
D...
la~
rDWK Z
Recelpl NO.
I LUU4
By Gv
()
TO 9524474245
PO I
05-12-04 02: 12 PM FROM FGTN PLG HTG
Date Rec'd
.",
CITY OF PRIOR LAKE PLlJMBING PERMIT
.,,...
;:;: ~~,; I PERMIT NO.()";) -/~ ,,) ,.
J ""... "Jptl(.ll'll ." J-'-
(Pk.uc type or pM! and Si,;llf bonom)
i ADORES:
. .. .,;.. q () L7 C~"'4D-r
V
LEGAL DESCRlPTION Colli",... only)
LOT BLOCK
i OWNER -
i (Name) I c,
J I ZONING I.""'.'" I
rat 11 ~
ADomON
PID
C,.1-7 irIAG4-lo"'--
(phone)
: (Add=l) C 11<.6
I APPLICA,N:4 . \ ()! [) 111
I. (Name' ~......., 1 "'''-+'''''-. '''' Ol."" , rr
· V 0
i (AddIess) rl.-I () 3 Y C h: D /le", ~I e.. {J '-' tL.-
~
(Contact Person) f"h "'-
APPLICANT SIGNAnJRE D
Qllalltily
~
I
I
Lj
)
I
1
_?
(Y/"
(phone) ..fg5 I - 4 lP,5 - 7,3 J.- Lf
~ (i1'1 ; () J -b." .5.<;. 0 J., Lj
(City) (ZIp Code)
.j
. '''''1Il
(phone) .
()~,~.O~~.__
DATE
APPUCANT PLEASE COMPLETE BELOW
~,~
Type of Fixtare
Bath Thb with or without mower
Dishwashel'
Floor Drain
Lavatory (BaIhroom Sink)
Laundry tray (1 or 2 compar1menl sink
Shower Stall
Sinks
Bar Sink
W.ter Closet (T oild)
~
,.4
Qllaatily
.3
I
\
Type of Fb:Cure
Rough-ius
Water RelIter
Water Softner
Stand Pipe (W&shing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
-
...,..~- "'Ji!
..
~
.,
'"
FEE SCHEDULE
Industrial, Cornmereialtl Muld-runlly 1% .(job COIl with. $39.50 minlnlllm Ilcsidclltia1.l'l... One: " T_Family $99.~
Rcrldaltial, Addill.... "AIlctIlI_ $39.~
,.
:- I!
Ertimwd Cost $
Building Pamlt .
PLUMBING PERMIT FEE
STATe SURCHARGE
. TOTAL PERMIT FEE
$
~ .SO ~~h
(0III<t v.. 00It)
n" AppllaltJo. BeeOlllel Y oor a.UclIaI PCr&lI. WIle. Appro\'tcl
.
'I.'
Iddlat 0tIIda1
D... ~ _III
J.C boo, ..Ila ror .0 1......11... (951) ~1.,"" r.. (9S:I) ~7-424S
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 2.ct.Ol,p CDu.0:2~ PAT~
NATURE OF WORK ~ C.1O~S'C"QHcT'D~
USE OF BUILDING S,F; b.
PERMIT NO. 04.0/..50 .oATEISSUED .3"'1.(0&1
CONTRACTOR T:c., tDN\Tau.tT'/O~ PHONE~'-:fte~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING ~
, FOUNDATION (Prior to Backfill) k9 .? Y y I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
f/A s,;n,
1M
~ h31&/1
SEWER I WATER I SEPTIC
FRAMING \ AI / L,
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST 1M./' {/I~1)(,1
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~ -\,,$ fiS IT..?' I
FINALS
GRADING (Prior to Sodding) t?A, AI IS '1.10. 0'1 ;;;;,
BUILDING ~ ~ (O-I-ol.,~ V 7.2-1 t14'J
ELECTRICAL; I
PLUMBING iV, ;-~ .J..~c.
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough.ln 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.
A
JIVr_
INr
,s- /"3--0'-1
!-). 1<I'1ft1
It) - 8---e'V
j
FOR ALL INSPECTIONS (952) 447-9850
_...,--------_._._-'_."~-~
QLtdifiraft of <IDrrnpaurJl
CITY OF PRIOR LAKE
~tparfmtut of ~uilbiug J1u5ptdiou
~inal Permitted 0 Conditional e.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the [J Residential / D International
Building Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City of Prior Lake regulating building construction or use, For the following:
SINGLE FA.'lILY 04-0] 50
Bldg. Permit No.
N/A
Use Classification
Occupancy Type
R3
VN
Zoning District
Legal Description
Type Construction_
L3, B5, THE WILDS NORTH
Owner of Building
T.C. CONSTRUCTION,
Contractor's Name & Address _ .,
ROBERT D. HUTCHINS// I
. ;,
i ( / ,.Ii Building Official \j_.-'
f i
;
Site Address
2906 COUGAR PATH
P.O. BOX 5], ELKO, ~!N 55020
DON RYE
City Planner
Date:
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
~ero~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
.9-!!lSULATION
}WJ"INAL
o SITE INSPECTION
COMMENTS:
DATE nile
SCHEDULED 10 -g....o r
,
l'~C?~
CONTR.
PERMIT NO.
If - 1<;;(--..,
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FtNAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
ok .\.0 " \ I'IC-P ..lLG t. \. ?
~~{ )1-11\ ~ ~(+-
~RK SATISFACTORY. PROCEED
/~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: fIr\ Owner/Contr:
CALLU,Vsd FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
'''''"'"
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~C)<.n
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
...a"FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED -, -""d..11-0L{ -': 76
~-~~
CONTR.
PERMIT NO.
4 - 1""-0
o PLUMBING RI 0 EXIGRADIFILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GAS LINE AIR TST
~ 0
COMMENTS: \. ~d'te. ) 952. 'f/1-,e'Y!
I. FiJ ~I~~ ~
"2. s...,Q. ~DO~. ~. ~
1, ~hL 'l""'n.\., \~,,~ ~ SuI>Al>T'l- <180 l\.s L~~_
1-,0 -b,
1iJ- J -tJ'I
D.-.D~_~ OI,G..:d.a.A. - \~ ~.... BH:;Rtl_
o WORK SATISFACTORY, PROCEED
o CORREC CTION AND PROCEED
X CORR C RK. CALL FOR REINSPECTION BEFORE COVERING
.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
OWner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~D ( D
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED )- L.J.,
(\, 'u I \)6 R-
CONTR.
PERMIT NO.
(J - 1.67.)
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
.p PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
JC~~~) . ~
~'~r~~ ~ __
. '7" C.L\~ (lu... ~
ll. c.u...n~ ~ l','cR
,
~WO ATtSFACTORY. PROCEED
ORRECT ACTION AND PROCEED
o ORREi,ZCK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
~..(j 4M~'~' ,~~~" U "'"~. ""''''',.
-~
Cvu" ""QUIREMENTS ARE FOR YOUR PERSONAL HEALTH ,I SAFETY!
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~ -fa
ADDRESS :),rcb ~fI'r pc.f'h.
OWNER CONTR. TIC ~M-I.
PHONE NO. PERMIT NO. 64-/.)"0
o FOOTING
o FOUNDATION
o FRAMING
-9- ~~ULATION
VO'-"LNAL
o SITE INSPECTION
o PLUMBtNG RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~ILLING
o ~d~....J;HT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
hi'''/' - r9 e_
-:xr WORK SATISFACTORY, PROCEED
v ~CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InspectOl~:l-:~::_ v>fJner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH of SAFETYI
IN$1iOTI