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2007-P11393 - vacuum breaker
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2240 North Shore Drive - 10-117-23-32-0019
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2007-P11393 - vacuum breaker
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Entry Properties
Last modified
8/22/2023 3:26:21 PM
Creation date
10/4/2017 1:24:50 PM
Metadata
Fields
Template:
x Address Old
House Number
2240
Street Name
North Shore
Street Type
Drive
Address
2240 North Shore Drive
Document Type
Permits/Inspections
PIN
1011723320019
Supplemental fields
ProcessedPID
Updated
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FROM : FAX N0. : Aug. 23 2007 04:59PM P3 <br /> �--_....,.,. � <br /> ' � � ' ' 7625 Boone nvonue Nocth <br /> BrooY{yn Pdrk,Miv SSa28 <br /> Main 763.544.4131 <br /> � �1�.�d� Fax 763_595.�346 <br /> �n www.cgattcacoa�s <br /> ]kaa Compan.l' <br /> BACIC�LOW Pf��YEIVTER 7"E 'T R�POR. . <br /> ��c�:� ' ' �inted in�lack k�c <br /> instruohons�Csrtif�ad Tos�s: All Iniwmetbn must be Y d or dea <br /> �K.os� ziP' <br /> 3fTE ADORESS: � <br /> CCUPANT: ` PHON�: 't�ST DATE: P-�3� <br /> e� �-s . <br /> - s�z�: �.`� s�a�A�.No. � <br /> DEVICE MAKE/MOt7E : m ' <br /> �� t <br /> � <br /> , DEVICE�OCATION: �� .:��"�✓� � '' � <br /> SYSTEM [?6VICE � (���� <br /> �HRV��: f'n Gc.��C. , <br /> CHE�K VAt,V� CHECK VALVE# � PaES. DIF. PR�S. DI� <br /> #f , a ACROSS#i WHEN AEl.I�F STRAtNER <br /> CH�G14 OPEN <br /> L�AFCHD ( ) L�AKEQ( ) ��i �?9; NONE(�')"� <br /> EST gEFORE REPAIRS CLOSED ( ) CLOSED( ) CI.ND ( ) <br /> FiNAL TEST C�.OSED CLOS� C���si �•�psi <br /> � � <br /> DE$4RiBE ' T- �� 00� � <br /> REpA1A � <br /> �K--�-ao Q� -- �. � <br /> Csrtification: <br /> 1 hereby oeNfy that the toregoing dete to be conect and that the tested devic;e ia#unc'doniq� <br /> withfn the(imlts of khe standsrda. <br /> FIRM NAME: �GAN ME�H�N{��l. CQf�lTFiAC�T R�S__,�A�DRESS: ,7�25 gOON�AVE.NO_,,,_,_ <br /> g�C�� [�d•--- TES'�'ER'S CERTIFICATION # gd,,:o3�b3'�HpNE#: �fi3-59„�5-4�QQ <br /> ���a Companle�,lue. FA)(#' 76_�_,_3_59�..d�b� <br /> 816NATU Of v�p71F16P T ' <br /> ' �gui Mecl�aplca I Rgon-1Nc�Csy&lnctriasl J Nibt�Elocaic, !nr•. { ��an AutomrLton I lnteaClad � �p�tn Sarvice <br /> M.�tliinwdw Aoe�an/E"qrwl Oppnrrwrl�,�,npl�,�+er ' <br />
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