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� DATE TIME <br /> CITY�NO CALLED IN ' <br /> INSPECTION NOTICE scHeou�E� � <br /> PERMIT NO. COMPLETED t� <br /> ADDRESS Z-�� �-S p��� Ikl OIl <br /> OWNER TELEPHONE NO. IItIOIIS <br /> CONTRACTOR <br /> Permit number: v���lr� �?�� <br /> ; DESCRIPTION Date received: �l / � <br /> � ❑ FOOTING ❑ PLUA�161NG FINAL ❑ EXCAV/GRADING/FILLING Received by: F�U L C <br /> � ❑ POURED WALL ❑ MECNANICAL RI ❑ LAKESHORENUETLANDS <br /> � ❑ FRAMING ❑ MEC ANICAL FINAL ❑ TREE REMOVAL Plan review fee: `7 : �� '��'��OQ�? ' � <br /> � ❑ INSULATION ❑ WO BURNER/FIREPLACE ❑ SITE INSPECTION <br /> � ❑ RADON SLAB ❑ WAT R HOOK-UP ❑ PROGRESS Total Fee: <br /> ; ❑ FINAL ❑ SEW�R HOOK-UP ❑ COMPLAINT <br /> � ❑ DEMO-SITE ❑ SEP IC MAINT. ❑ FOLLOW-UP rmation must be submitted. <br /> � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL �se print) <br /> � ❑ PLUMBING RI ❑ SEPTJC FINAL ❑ FOUNDATION/REMOVAL <br /> C OWNER/CONTRACTOR TO MEET YOU:_YES_NO <br /> ; COMMENTS: splay Home? ❑ Yes ❑ No <br /> hor to the event. Shuttle bus service will be <br /> � vill not be allowed. <br /> ; �d �QC� �fv� <br /> � Kpiration Date: <br /> � <br /> � I — - (cell) _ <br /> � � t�,�nSJ� � ZIP: S 33'7 <br /> = in rac or / Homeowner (Circle One) <br /> ; <br /> � <br /> 'u <br /> s <br /> � <br /> � ��A�G <br /> � <br /> 1�j ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE �I N� `, <br /> � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY �`IJ��Y ZI P: �✓3� <br /> j ❑CORRECT WORK,CALL FOR REINSPE�TION TEMPORARY � <br /> J BEFORECOVERING �� PERMANENT �I� t��FJ�,t <br /> ❑CORRECTUNSAFECONDITIONWITHI�1 HOURS. � pHOTOTAKEN � <br /> INSPECTOR WFLL REfURN i ❑CITATION ISSUED <br /> ❑STOP ORDER POSTED.CALL INSPECTdR <br /> O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Z��7: <br /> Call for the next inspec�ion 24 hours in advance. (952) 249-46�� <br /> OwnerlContracto n <br /> iype 4.Sewage Disposal & <br /> Inspector. , Water Supply <br /> White Copyllnspector's Flle�i Canary CopylSite Notice ��ssory Bldg. ❑ Public Sewer <br /> ' __�_._�_ ,� .......,.,.,.,,,:me�a ❑ Private Sewer <br /> ❑ Other: (specify) � ❑ Multiple Family/Condo ❑Warehouse <br /> ❑ Public ❑ Storage ❑ Public Water <br /> **Any earth movement may require ❑Commercial ❑ Other(specify) <br /> MCWD review&permits. ❑ Industrial ❑ Private Well <br /> Minnehaha Creek Watershed District(MCWD) ❑ Other: (speCify) <br /> 18202 Minnetonka Blvd <br /> Deephaven,MN 55391 <br /> Phone: 952-471-0590 <br /> Fax: 952-471-0682 <br /> www.minnehahacreek.or <br /> Estimated Construction Valua�fon (excluding land) $ y���-O <br /> Packet Last Updated: 03-06-2012 <br /> -21 - <br />