HomeMy WebLinkAboutPL 2012-00055 Irrigation System - Pressure Vacuum Breaker CITY OF OAK PARK HEIGHTS PERMIT NO.: 2012 -00055
14168 OAK PARK BLVD. N. #2007
OAK PARK HEIGHTS, MN 55082 -2007 DATE ISSUED: 04/18/2012
(651) 351 -1661 FAX: (651) 439 -0574
ADDRESS : 13964 56TH ST N
PIN : 05- 029 -20 -14 -0115
LEGAL DESC : RIVER HILLS 2ND ADD
: LOT 15 BLOCK 1
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL - OTHER THAN NEW
CONSTRUCTION TYPE : IRRIGATION SYSTEM
NOTE: INSTALL PRESSURE BREAKER VACUUM BREAKER TO LAWN IRRIGATTION SYSTEM. PVB TO BE INSTALLED PER
MANUFACTUER AND DEVICE SPECIFICATIONS IN ACCORDANCE WITH ADOPTED PLUMBING CODE AND LOCAL ORDINANCE
REQUIREMENTS. JOB VALUE: $395
APPLICANT PLUMBING RESIDENTIAL 75.00
PLUMBING RESIDENTIAL- SURCHARGE 5.00
DRAIN PRO PLUMBING TOTAL 80.00
8815 209TH ST. W.
LAKEVILLE, MN 55044- PAID WITH CHECK # 18200
(952) 469 -6999
Minnesota State License #: PM060613
OWNER
DICK LACKE
13964 56TH 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 conformance
with the Minnesota State Building Code.
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.