HomeMy WebLinkAbout2010-00015 Water Heater �f OF OAK PARK HEIGHTS' NO 2010 -00015
14168 OAK PARK BLVD. N. #2007 j
OAK PARK HEIGHTS, MN 55082 -2007 DATE ISSUED 02/11/2010
651 351 -1661 FAX: 651 439 -0574
ADDRESS 13767 55TH ST N
PIN 05- 029 -20 -14 -0075
LEGAL DESC RIVER HILLS
LOT 2 BLOCK 2
PERMIT TYPE PLUMBING
PROPERTY TYPE RESIDENTIAL - OTHER THAN NEW
CONSTRUCTION TYPE WATER HEATER
NOTE: PERMIT ISSUED FOR INSTALLATION OF 40 GALLON WATER HEATER. INSTALL PER MANUFACTURER SPECIFICATIONS
AND PRODUCT STANDARDS. WORK SHALL COMPLY WITH APPLICABLE MECHANICAL, PLUMBING CODES & LOCAL
ORDINANCE REQUIREMENTS.
APPLICANT PLUMBING RESIDENTIAL 50.00
PLUMBING RESIDENTIAL- SURCHARGE 0.50
ADAMS ON -TIME PLUMBING TOTAL 50.50
13791 JONQUIL LN N
DAYTON, MN 55327- PAID WITH CHECK # 5899
(612) 205 -6060
Minnesota State License #: 066818PM
OWNER
SARA LANCZ
13767 55TH ST N
OAK PARK HEIGHTS, MN 55082 -
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed
according to: (1) the conditions of this permit; (2) the
approval plans and specifications; (3) the applicable city
approvals, Ordinances, and Codes; and, (4) the State Building
Code. This permit is for only the work described, and does
not grant permission for additional or related work which
requires separate permits. This permit will expire and become
null and void if work is not started within 180 days, or if work
is suspended or abandoned for a period of 180 days any time
after work has commenced. The applicant is responsible for
assuring all required inspections are requested in conformanc
with the Minnesota State Building Code.
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.