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2017-00273 - addn/remodel/repair
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780 Lakeview Parkway - 06-117-23-43-0021
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2017-00273 - addn/remodel/repair
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Last modified
8/22/2023 5:29:12 PM
Creation date
4/24/2017 2:15:36 PM
Metadata
Fields
Template:
x Address Old
House Number
780
Street Name
Lakeview
Street Type
Parkway
Address
780 Lakeview Pkwy
Document Type
Permits/Inspections
PIN
0611723430021
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Updated
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RECEIVED <br /> V <br /> ETRo � ���� 2 l �v,-, <br /> Pressure Vacuum Breaker Assembl PVB & S ill Resistant Pressure Vacuu�m F C�RONO <br /> y ( ) p' rea er <br /> Test Report <br /> .lr� �-2�S t O�Ch. � 1V ,6 - 13 � <br /> o La Kevi�w �rKeva � Oro�� � <br /> �l�b � �� � � 1' � �z � � <br /> ic� �- D � ��s � � � 1Y�i �t 'v� <br /> PVB --------------> Shutoff#2 Gate Check Valve Air Inlet Valve SRPVB - Tightness of <br /> Valve Check Valve <br /> Leaking ( ) <br /> Initial Test Leaking O Closed Tight O Failed to Open O Fail to Open ( <br /> Pressure Drop Across q <br /> Closed Ti ht Check Valve#1 �psid O ened at3 ( psid sid <br /> Any Repairs/parts <br /> U sed <br /> Air Inl alve <br /> Leaking ( ) <br /> Final Test Leaking O Closed Tight O Opened at_psid Faile to en O <br /> Pressure Drop Across ( ) <br /> Closed Tight O Check Valve #1 _psid Opened at_psid <br /> Certification <br /> I hereby certify the foregoing ta to be correct and that the device Assembl Final Test Performance <br /> tested is functio 'ng within th 1 mits of the standards <br /> Signature• P <br /> Date• � ' <br /> � 3 � �-� Fai ❑ <br /> COLE FORD CertiPcation#066445-PM � GARY FORD Certitication#058476—PM I <br /> Metro Testing/Metro Mechanical Consultants,LLC 9112 Davenport Street NE,Blaine,MN 55449 <br /> 612-221-5888 <br /> Plumbing Bond License:PC6469]8 Mechanical Bond Certificate ID:5054-MB <br /> This report is far the purpose of recording only;Owner is responsible for safe operation and upheep of scheduled maintenance. <br />
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