HomeMy WebLinkAboutBldg Permits 05-397 & 05-785
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Ar--
AND UTILITY CONNECTION PERMIT tj-, d'S'-{/0
See Main F 1" Ie ; ~i:i:. ~::y I PERMIT NO. 05 (I3q7 I
- 3 Yellow Applicant .
(Please type or print and silUl at bottom)
ADDRESS
,;lJ~S- tJt:f/l'rh//
ZONING (office use)
tJ~7
A1tJ
LEGAL DESCRIPTION (office use only)
LOT/O BLOCKS ADDITION f.,J,oNJ /11t?/V/V
;t11..
PID~-- <jjf-/~-O
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
tJ fN..r/l1f'/V/Y
Gar.",
/J'75 /~ z-(;...
NIT rn t".J'
/)r
Fa.. '!Q/Y
<J
(Phone) W-/-~"b - yj/()/)
(Phone).?/;2 - 3&'9 - 76-/2..
TYPE OF WORK ~w Construction o Deck DPorch ORe-Roofing
DAddition DAlteration DUtiJity Connection 0 Misc.
CODE: MI.R.C. DI.B.C.
Type of !l'f~,truction: I II III IV V A B
Occnpancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
ORe-Siding DLower Level Finish 0 Fireplace
- qz)
PROJECTCOST/VAl.UE s/b"oOIi
(excluding land)
I hereby certiry that I have hlmished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or amhonzt'd agent for the
above-mentIOned property and that all construction will conform to all existlng state and local laws and will proceed in accordance with submitted plans. I am aware that the buildlOg
:"tj'';d';;::;.''m'''f:''' ,"",' Fm'h,,'mote, 1 h"'by ,,,,,, 'h" 'h, tt'Y off,,',1 '" ';7:;:; to'" opoo 'h, pmp'rty '0 p"fOlm 0;: ;;:m~.s-
/ / /"' Signarure Contractor's License No. Date
, V
Permit Valuation 1'1!?' tJOO. 00 Park Support Fee # $
Permit Fee $ /Zsrl..s-O SAC # $ /'IS(J,OO
Plan Check Fee $ F'32..,'1pj Water Meter ~ze'5/8jl"; $ ZSO. 0 0
State Surcharge $ (0'.1. (J 0 Pressure Reducer $ So , 0 0
Penalty $ Sewer/Water Connection Fee # $ ;S;o t), 00
Plumbing Permit Fee $ 10.0, (J 0 Water Tower Fee # $ / Ot!) 0, 00
Mechanical Permit Fee $ IOOrOtJ Builder's Deposit $
Sewer & Water Permit Fee $ 35, So Other $
Gas Fireplace Permit Fee $ t./o. {) 0 TOTAl. DUE $ (&. 'ill fl 98
This Application Becomes Your Building Pennit When Approved
~
'c(~:1lfJ
Building Onicial
s-h-/os
Paid
Date
.7
I,,'lv# .f6
/. .,:J..lI ..4 ?-
ReceipJ No, 4'9./.r ~
By /Y.
U
[)ate
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 ,llemporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Cerllficatc ofOccl1pancy must be
~nn'n~ *{~ S~nsEjle
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLlAN
AND UTILITY CONNECTION PERMI I I
ry..."J{6S 63?7>
"..- . A
NO. OS- .l.r7€;51
While
Pink
Yellow
File
City
Applicant
(Please type or print and sip at bottom)
ADDRESS
:l.s tf S L.J a reF' ;::" II
lJa r
/1/ tJ
LEGAL DESCRIPTION (office use only)
LOTio BLOCK .j- ADDITION
~1/...
PID..2S- ~/J'- 1.l3-0
(Phone) t;5/- Y~4 - r~()()
(Phone) ~/.<-367- 761"-
~~;-j J ~
I hereby certify that I have furnished information on this application which is to the best of my knowledge tme and correct I also certify that 1 am tht' Dwner Of 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 buildmg
~li'iftOkl th" p"m>! f7s7~ hmby 'gm thot th,,,ty Offid'~;;':.;;'Y ,m" opoo th, pmp'rty top"folm o";r-~;;t:O~.>_
~ /7 Signature Contractor's License No_ Date
V "
1/1/ ()OlJ. 00
'& / 2..0('. . 2.S
$ I sLl. 04-
$ ~.':)O
$
$
$
$
$
$
$
$
$
$
$
$
$
$ 34 S-. ~ I
I Receiot No. -9[)( :Ji P
By r:>
~
/.,.)PNJ'ma-NN
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name) fA) PN f" h79"/V/V
(Conract Name) . aa"...
/ J'? 5' I'Itr 2,.
/Jd", t'J'
F ~d:'"
TYPE OF WORK 0 New Constmction ODeck ~h ORe-Roofing
DAddition DAlteration DUtility Connection ts1 Misc.
(Address)
IJ"
/1A /V
ORe-Siding DLower Level Finish
1"2..' XI': PtJ(Lt.ti
PROJECT COST IV Al.UE S
(excluding land)
CODE: IKII.R.C. DI.B.C.
Type of Co;'stmction:
Occnpancy Group: A B
Division:
I
E
II
F
I
III IV
H I
2 3
V
M
4
A
R
5
B
S U
Permit Valuation
Park Support Fee
#
Permit Fee
SAC
#
Plan Check Fee
Water Meter
Size 5/8"; 1";
State Surcharge
Pressure Reducer
Penalty
Sewer/Water Connection Fee
#
Plumbing Permit Fee
Water Tower Fee
#
Mechanical Permit Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
mo
B.IS-.os:-
TOTAl. DUE
This Application Becomes Your Building Permit When Approved
~Ol~ 7/'2;.{as-
'~lt6, ?:tl
- Y--ICf- 5"
Paid
Date
Date Rec' d
f?/o.o5
ZONING (office ose)
1<.4-
o Fireplace
trtJ
,p()()f)
ThIS IS to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may procet:d as requl'stl'd This document
:~tJ~th:;;',""" C];t:~illY e'rt;fica" of z',?;;m:!antCe: ~'"OW' consttu"',n to comm,nce Berote ocn,p'"cy, , elM",,, of O""p,ncy must be
Planning Director 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
White - Building
Cl'nal'V . Engineering
c....... Pin':l: - Planmnp
NAME OF APPLICANT
B.UlLPING PERMIT Aefl,ICATION DEPARTMENT C!:iECKLlST
/ I.[/L. /-/'II.//l... /J
1/ - l/ __,~f_ /
;;:::./(CC-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
2 ':';"ss I[,/I/Z-k///!& :!./1 Y /Llt/
Accepted
/
Accepted With Corrections
Denied
r
~
Date:
~/Il-/~
r U;;LL_ . ~
Reviewed By: E;)....,~
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."
C White . BuildiOil}
Canary~ I:ng.rieiring
Pink - Planning
BUILDING PERMIT APPLICATION DeeARTMENT CHECKLIST
NAME OF APPLICANT
w t;;/l/s tt1 R,A/ ~
6 ~ /0. oS-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
apPlication~Or~g5ctio;;;~se~~ JVtJ
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~
r
~
Date:
7/12~.Ios-
, L
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."
See Main File
White . Building
Canary . EI"lIneering
<<>in.. /' Plannlnlp
BUILDING PERMIT APPLICATION DEPARTMeNT CHECKLIST
NAME OF APPLICANT
(/~~~,;' >"V ./J/e-t:j (// v
I I) r-:- -..r-
I - "A.J .::J
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposeciat:
5'65- (..(../:2/U;f$/ 1/12.(j
~
~
Accepted With Corrections
Accepted
Denied
~~
Date: ~S-~..:e-
Reviewed By:
Comments:
""'It
.~
"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."
OO~ PRI04' <"
~ ~
U . m
4,r^,NESO~'I-
(') --,-,,,.....j(1 ,;
~o~~ 1'.\./.(.. aln.H:-'\lL~~;
"'\\,j~j -;
White - Buil!linQ
.....-t;anarv - EnQ,neerin!l)
Pii'iR - Planning -
BUILDING PERMIT APPLICATION DEPARTMENT CIiECKLlST
NAME OF APPLICANT
/.//~~
A/- a6-~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is propgsAd at. _
9.SoS- W~;Z~
U
Accepted
y
Accepted With Corrections
,~Ckt
~
Denied
Reviewed By:
~
,5c e ;114/.'" F; ( L
Date:
,~-03.oS-
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."
07/01/2005 FRI 13:22 FAX 952 767 1900 GENZ-RYAN
~ 008/025
Date Ret'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
q'lease. ~e or print and si2J1 at bottom)
ADDRESS
~,- ~ " "f(. :1 (' II
1"'-" I v- r f ' ".,0:(1.1'
,/ ji) ~\lLt Ui ill, I
t' I \111' ~\\1i iU'
,\ Ju\.v1 \)
.'
~. ~ ~ 'PERMlTNO.~'~
3, Gold AppHeant ..., . ... ~
I ZONJNG (offi,,"") I
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDmON
PID
OWNERil" 1^C,\ ", '\ LIS
(Name) \ if;,'!. (\11~nn -wi'') C
(Address) l <;;Q5 PICtZLL, Dv, Sk,?{I)
(Address)
(phone)
8lDo VI fvir~
(CitY)
(00). Q(fS- 5/00
551':0.
(Zip Code)
~~;~ANT ~(M-- I?<< a II]
(Address) Ll1)[) VV.' J:hML1 I.~
: /. (Ad<!!=l' , .
(Contact per.;on) t\,\ i~(\ \~<(:f/\:V i \ \ fj
"LICANT SIGNATURE ,V'A;1';( jF!Pfl{;1ji C/
-
(phone) 1;01- 7 {pf- (000
I3u Jf)1/ S V i /r~ {\f\N q;?;3 7_
(City) (Zip Code)
/1.-::- -7 ", I ", I'
(phone) vr)"l" i ((; 1- ILL,l.J
t -f':2 I' . f ~..---
DATE \. () J\..Jlv)
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe. 0 ABC 0 PVC
Estimated length of sewer line _ feet
Clean out (if required) located at feet from structure.
feet.
o Cast Iron
FEE SCHEDULE
Residential sewer and water line connection S35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
Sewereonneelion only $17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STA 1E SURCHARGE
TOTAL PERI\fiT FEE
$
$
$
PAID WITH
~ILDING PERMIT
(Ollic. Use Only)
I This Application Becomes Your Building Permit When Approved
Date
r'~~ ;
. ~je JUI
"'''-"....'"'-
Building Official
" 'I ~:"1"iptNo,
, ,
" 6 ZaGS 1 iBiYi
I
I
24 hour Donc. for all in'pectioDS (952) 447-98, 1B,)i,x (952) 447-4245
------._......~
07/01/2005 FRI 13:22 FAX 952 767 1900 GENZ-RYAN
I4J 009/025
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
1.",,, FiI. I PERMITNO~.~
2. Gold City
) 'Vallow Applfcanl
~
1 ZONING (office we)
(please type or'PriIlt and sism. at bottom)
I AnDRESS
,?F'Sfl \!\ ) DJevfcd A
. f.r.. ,i. )
(A )CLU NU\../
"
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PID
~=R I ,UfY'f) {YV) Y)(I hD(\f)CS
(Address) \ X-W5 10\ 0\7>> Dv. ';;k
n"l"
:?U)
(phone) [fni-crt) - 3-7CCf
07) C"JH'I M N Ff5 f J:1
J
APPLICANT fl_ 1) ,
(Name) Cle111.. - 1'-&) aV)
(Address) 21.J)o IN. 1-h,\J IA 1,3
') (Address) )
(Contact Person) k' ilil) '~-=2 f'r\v'11/0
. " ! /
APPLICANT SIGNATURE f'NJ"A ,R f ni jj {J {J (j
(phone) Qt6'2-ii.f1 - 1000
!7>iA.l111C,l(JIlf'" fV\ tV S'":J:-5-::J7
(City) (Zip Code)
f);::; ~i ....,.(1.".
(Phone) " )~- / V; /- ;( J)
DATE l()/?Dlo:5"
APPLICANT PLEASE COMPLETE BELOW
I
i
I
I
I
I
I
I
I
I
I Type of Fixture
I Bath Tub with or without shower
I Dishwasher
Floor Drain
I Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
I Shower Stall
I Sinks
Bar Sink
~j I Water Closet (Toilet)
I Type of Fixture
I Rough-ins
I Water Heater
I Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
I Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
Jbther
I
I
I
I
Quantity
:::5
I
/21/
I
Quantity
.-'-J
I
\
."+
\
I
\
FEE SCHEDULE
Industrial, Commercial & Multi~family 1 % of job cost with a $39.50 minimum
Residential, New One & Two..Pamily $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Penn it #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only) ~_~__w~_ __" "'"
, This Application Becomes Your Building Permit When APProverfG'I-\i-c: li'aid'
I .
,
I .', RJ'fe 0 6 2005 i
Building Official Datt I II
, ,
24 hour notice for ,II inspe'tions (952) ~~-9~S~,.f~X (952)4474245
50 PAID WITH
BUILDING PERMIT
'1 I Receipt No.
I By
07/01/2005 FRI 13:22 FAX 952 767 1900 GENZ-RYAN
Ii!J 010/025
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
(Please type or print and siJm at boftom)
I ADDI~~SS..
;J.[j \ r-; \M CLtt\<f [L1,\
I. 'i,' ~:~. I PERMIT NO"- -1ir7
~.~:., Applleallt ~. W LIJ
, I (,
Vi) LU1
,
'.j' l
\\1 LU
1 ZONING (om"
use)
LEGAL DESCRIPTION (ollke use only)
WT BLOCK
ADDITION
PID
'OWNER \1 I
(Name) ;\ J{J0(,\I\,\n nn
(Address) \ gW5 PlalCl.- D~r. S-Ic ?lJD
\-\f)n~
(Phone) C!51- QCfS 370Q
l.atl (lft [,V\ t\1
~
;::-1) i:X)-
APPLICANT (' ')
(Name) l::;rCnz.- IciflY!
(Phone) qF)';A-ifI7-IOOO
. (Contact Person) -K\ 'IYi
(Address);i.;).(JJ W . \'-t LUv) i '3 B W'l'\Svi lie
(Address) (City) (Zip Code)
()pA ("0 rV'---',-"1 ') /'-1>>'>>'
\'",<,) \\11 I \\" (phone) '1),;1.,'- ILf} r (J;L)
APPLICANT SIGNATURE (i~J1'\ j k<fJ1,{,}1;(jj DAT!'._ (() /:2..01 D:)
APPLICANT PLEASE COMPLETE BELOW
i~W CONSTRUCTION D REPLACEMENT 0 AL TERA TIONS
FURNACEMAKEANDMODEL I_t.nnn/ (:rf-r(JUj-I-~(or\--qD FUEL ('{cf 0..0.5
FLUE SIZE RETURN OPENINGS /5 INPUT corce; OUTPUT 7:OU.L()
TYPE OF SYSTEM REA TING OR POWER PLANT
.nn Air Plants 0 Steam
'OGravity 0 Hot Water
l;:lMechanical 0 Radiation
~ Conditioning 0 Special Devj~
OVent. System 0 Other Devices
c:::;:=..(}.?-.. '7
>--;J _)-,j
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industria!, Commercial & Multi-Family 1 % of job cost Residential, Gas Fireplace
S39.50 minimum
Residential, Heating & Ale (New Construction) .$99.50 Residential, Additions & Alterations
Residenlial, Heating Only (New ConslrUction) $64.50 Residential, AC Only
$39.50
$39.$0
$39.50
Estimated Cost $ Building Permit #
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE S
(OffiteUseOllly) ?;--\ ~.-, ,-.." -T~\~~T
This Application Become, Your Building Permit When Approved \'U 11~.Jl=: ! r, ,." '.'
1;,1
Ii IIIJiItIl U Ii ZUU~
JI \
.50
PAID WITH
BUILDING PERMIT
Bulldine: Official
\ Ii II Receipt No,
10JIBY
24 hour notice for.lI in'pections (952) 41H8S0, fax (952) 4474245 1
L,' \ =--=-~.:-;;."-'::--:::""---=-:=:"'::_==~:'~__. _.l
Date
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS Z 5" e S ~~ , t:.L. f="A LL.. W A. V ~. &A).
NATURE OF WORK ~W ~~, 1CJ,{c;r..~ ~I 1... L. FT~I1)
USE OF BUILDING s:' F=: A.., '_
PERMIT NO. 05 03<77 DATE ISSUED S /S-!d
CONTRACTOR ~N ~ PHONE~l-~-7"/Z
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF See Main File
BUILDING AND INSPECTION
INSPE9T~.R, . DATE ,
, FOOTING ft4f I 6/4j/~
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
--=--
l...( re- J -- ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING VSt~ u,;~/-J>
HEATING (if required) -
FIREPLACE
GAS LINE AIR TEST
~
1'/5
O/b
r-~..
'7'--12 -os-
-
I/I? - 0>-$1- 0-
<:r~ cr~
/)
If; )O/2IPJid"l
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
.
'I.A.THE / MouSEttJt.AP I I
- ( FINALS fijA,~~J /{d' r+-
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
/l0'J
n~ /D/.?
\tJV
OCCUPY UNTIL ABdvE HAS
NOTICE
;&
I J
I O/zu! r;
, . /
. /I//Z&/~
BEEN StGN~D
This card must be posted near an electrical service cabinet prior to rough-in Inspections
and maintained until all Inspections have been epproved. On buildings and additions
where no service cabinet Is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS '2.5RS l..)aMcao
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING Rl
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
XPLUMBING FINAL
o MECH FINAL
COMMENTS:
~...~ (("~6 (''''p
z, a b/..u.. Cl~
c I n<=vf~
.cLe
DATE TIMe
,*
<1-'
~ 7 I
~' ~
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RJ
o FIREPLACE FINAL
o GAS LINE AIR TST
o
"S-~S
...
o WORK SATISFACTORY, PROCEED
~RRECT ACTION AND PROCEED
./ 0 COR~E T WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspect : Owner/Contr:
C '44,.?sSO FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
.~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSJWTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
SCHEDULED /,/~~
-. I
ZS-~ LJ~ J;, fl-1
TIME
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
'5 - 3/7
o FOOTING
o FOUNDATION
o FRAMING
JE'SULATION
FINAL
o SITE INSPECTION
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
...Jd"'MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
...a--CASLINE AIR TST
o
COMMENTS:
(\ib~ % .Q( q(
't- WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
a CORRE~T K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: OWner/Conlr:
CAL"\; 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
INSJI<<)TI
I
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