HomeMy WebLinkAbout17455 SUNNY SLOPE AVE_ 94-00000256
�1
■
WE
Et4nore
E 130 South Mfrs Sit
PEEN NO: 94-00000256 DATE, 4f15l94
JOB ADDRESS . . . . . : 17455 SUNNYSLOPE
DE-IC—*-IPTION OF WORK . : EI,ECTRICAL
OWNER CONFRAO"IR
HARTZHEIN DAVID �
HARk'ZHEIR
R=P, 375-121-035 5 SQUARE FOOTAGE O
OCCUPANCY . .
GARAGE S{? FT
VALUATION
FIRE SPj�-IQMR . .
ZONE . . . . . . : R-1.
EI,XLTRiCAL PEHHITQTT
UNIT CHG ITEM CH"GE
BASE FEE 30.00
i.00 1.0000 RECPT,OUTLET / 1ST 20 1.06
1.90 Y 16 .2500 MISC. WHERE NO DER FEE 16.25
PEE SUMMARY ��� CHARGES PAIl3 D€YE
PERMIT FEES '
RI-ERICA;. PERNf 47.25 ,(#0 47.25
TOTAL 47.25
_ r
s
MW
city of Lake 81l nix a
Budding Wety DWIston 1. 1 wn Licensed tiaad�d
l 1s o�. data•404 v%vhm*vjN i "
Past 1n CXXL It 1� _ �f_; Ca dle 9ecKbn?am el Mg.am "Isa,r�to
=ter-+� 4. 1.as owner of am pewaw Ar ew.,
oomApafa�iMe��'do the�oct saoA tt�e attraciaae 3r one�sur�de,d'�
tin U16 job offered for mkic,`
You musthmnL-h PERMIT NUMBER 9.LanowrwofftPrApeM,MUe
contractors to aKso1,on abrFrr)ecc
8fid tlt6.lam ADDRESS �4f each 4.1 how a certt0ote dcamme t oo s[iAs�e arc co a rssss`d�ortia a+
respective Inspection: Cateperoulon taAur=mm-ae it eeraaf+edova ammewc
1App►ovrA Pis Must be on job .Id"fttempWa y[am*jr m8'nawaff+djmaid mmw mbk=
at as t n*s:- to Workers Caompeaoerioe Awi.:.,a rise p=fasmasee rf taeworir er
which this pertou u hare&
Note: if you should h P ., ws"m w TfGrtmm C,s aS-
rnaklr>R this aertlfi►aticet,yoga�iort4awri� 5�.arw-
viaaon!or this pes t star&bte dpl"g d eLVrm&a& .
C.Ott! i Daft--
ime aw swv m ----i
ftet sad Film(k,daigiound
pt1.9i( t��nw"Underwood
WV
PAWAYOwnem
9"
tit'W GmLq
,��,�yy per,//±±O&
t+a iat under wattr - —
Wc- sm
SrrOt On gas swim
_ 1
Fbd
PAL
^:
--,
•_ ri ---i.
E3D5 mh Bsttr+o-T�tr — ��_(
Nm
3 •r._
EIS, 2
Rio ----- -
at�tar Fsal
Aaaa i sva App job Otthi l
« OYHW—TmeamumEs
�t F�aol$bat F iM=emv Dep"trr'efit AW"rG*ii°p*w ib fWkb
tarot Fna Sea.Tea ^0D reteeoad byetm ! i
fta
Aounh pea Eiowk Cane
,.
BtflG PodFsnai�r{►ocym
Fma
y®Illo �ii FtooYs- _ - E ineeti
City of Lake Elsmo
130 South Main 511
APPLICATION FOR
PEPMT
Apt
'K,Ina 'taws-w: the�hrs.ter•and s•nte fhot t h � �� �j S(7
mrrwrt" Mnr-muir_rr, •�". pf'_t;yn _nth all c. _
:n¢ =IrT, ;rjr*m cr .attC tarm io..s -q-.cr ng to builcmg MAC- ix�•orr-�` weaG�
M-rir_Irr vra.Prwm2v n,t+a-=f, of this
rs a en¢.r=urr cthE M=uOP-mattttrined 7":ip"for inspec-
'f mr mar•n:sxs. s .c..rE;TJ�.�
3 tmttr t zf Attirattr:r <cp Do'e
wrnm.afro.. nre an crrerc Nor.>m.�i n'um+w.s�z+.tar_nq•.+ircw
TT}dt a mimeo I n,Te.,A——sax'ctavaae ya am taa.nv e r-w:•e.
aC:E?►n 2fF r-4371ar".-ACTOR OWNER s 'cliewA+ _r•eitsr.E,
_ .ram 7—AM ---
%AA* b
YAaE_7�
F ap
i7lt . Cr-r STATE ZIP
yUUa 'G SM %a :nef'SF..C��R'4=C+tn:URt: :arc
3.4-"7 IZA- Own PLUVJ AGs J Cy' i1 A1VtCAi qua"
iew Undtsrttat.'Watt==MhA Fixture or Trap Evrrmm.60 It 1w7c a:it's
'eaw%Wdw.,ow$mpe?mmlr Building Sewer wsrtoarGver :�Gs£RT's
P^vnrwSaemmiraZP"aas Rain Water Sys per Dt.;, ! pees frm rme Vern _
S.wtcta ;ec m Private Septic Syste.r Wwl K"mtwr
iwilc. 0.nr;U1 Water Heolrr,- Veer Irfwwl Retsxste mwoo w`*n-
R*C;gr carliid r1rx. Gas Piping System 1-4o fflettr tent9l>ttfrtg,Faer -
9*c; : 3 dw. 17ww z Goa Piping S or AA"Chsfi ti � Fadtt star Iftiaer$
_c mF%=*names '.hrx Oishwashe greomm
%m=%cp* q=;cwVm £Airler SolorTank Ccmrt"mtd'4rrtrrtetstrsr
++tmw+As Apolanto GaMd Sour Collector pw popep Air Mandlr i IY3AMCF0
t ,sing,sm-'u®e-maws Grease Trap%(lntaresVft, Ae'Wot%";a TG MCFM
7=^we Ssnbaw 40 MO?x lAstail,Alter or Repcs SjV%m Fvw®enrrprrs
Swam GYwr-]R11.Amyy ar wA town Sprinkler System R_p9kRs
YA=Sgpm'anm µtmtut to EX Bockflow Devke Srr aw••t%cv'T" "I er Camaremaw to y i'F
`Vn G"kflaW Device UWgev d-er F' tfntlser 1 Y5%X I
stga'S�mtdr:+nIIttr Floor Drain Imler 15"m14:�
diacewcm,w Gx,m4lw Floor Sink I w1w CwwgrwwwX•So3$l►
ra,>Aevar p•tptwm y.er.rsr Woter Serveee Ua Wr CsmpMesaar W to 1.
!rt"w aacnsia:.isemlbrrian Syft. Aker at Repair Demn or Ver+ letpar Al.'Aw 4hac. 1-ftAc f:mmgL
Vx7miFS' Firm Sprinkles per t6dding
Marta"s 4o-is K.r� S)tilhWlv►C,P0476
tearur•r r-mngtwT nrm r 'tr,�° Swimming Pool:Pub c J
wittr7 -,,oTvfnrmuti M.%,-A Swimming Pool Pr-a-w
y1os-;r, i•rvrnrrirnan'Y1."t1G l+A Water Neater Vvr• -- '
*Tait:* i•TWVMr nw-t W "PH•.F► Replace Piping �
Replwe Filter
Misc.RepkXA
— _•^ Gas Pip+rd