HomeMy WebLinkAbout200204611 PPLUMBING PERMIT
CITY OF LITTLE ROCK
DEPARTMENT OF
PLANNING AND DEVELOPMENT
BUILDING CODES DIVISION
PERMIT NUMBER:200204611
ISSUE DATE: 05/24/02
EXPIRATION DATE: 05/24/03
PERMISSION IS HEREBY GIVEN TO:
CONTRACTOR: ROBERT HILD SERVICE CO* OWNER: RUDOLPH, JIM
TO PERFORM THE FOLLOWING WORK:
NATURE OF WORK:
CLASS OF WORK: REP VALUATION: 0 SQ FT: 0
JOB DESCRIPTION: NEW HOUSE,ONSLAB, DBL GAR, GRRM,KPRM,2BR,3BA,KIT
**spkl, insp**
PROJECT NUMBER: A200109197
AT THE FOLLOWING LOCATION:
LOT/BLOCK/SUBDIVISION: CYPRESS PT L237
ADDRESS: #8 CYPRESS CV
TO BE USED AS(OCCUPANCY): ONE- & TWO-FAMILY RESIDENTIAL
This permit is issued on the express condition that the above work shall conform in all respects to the statements certified to in
the application for such permit, and that all work shall be done in accordance with all applicable zoning, building, electrical,
plumbing and mechanical ordinances of the City of Little Rock and the State of Arkanses.
I or we further agree to abide by the applicable conditions as printed in the permit card. I or we further certify that we
have read and understand the requirements of this permit and that all statements made by us in securing this permit are true and
complete to the best of our knowledge.
Permit Fee: 40.00
DATA PROC 2.00
TOTAL: 42.00
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Licensed Contractor or Owner
Issued By: ONEAL FOR: CHARLES G. GIVENS
Building Official
CITY OF LITTLE ROCK
DEPARTMENT OF PLANNING & DEVELOPMENT
723 WEST MARKHAM, 2ND FLOOR
LITTLE ROCK, AR 72201 TEL: 501.371-4826
FAX: 501.371-4546 or 6863
OFFICIAL USE ONLY
PERMIT NO. -&D-o t01
DATE ISSUED b:5 J'Z I I bZ-
ISSUED BY S?7:- �-
INSPECTIONS
APPLICANT: PLEASE CHECK ONE
READY ❑ WILL CALL
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APPLICATION FOR:
BACKFLOW PREVENTION ASSEMBLY
(RPZA IRRIGATION PERMIT)
INSPECTOR'S COMMENTS
MANUFACTURER MODEL NUMBER RPZ SIZE SERIAL NUMBER
PROJECT ADDRESS: .t -,_,
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OWNER/TENANT:
ADDRESS:
9 i �^�,
PLUMBING CONTRACTOR: / LICENSE NO.: YY1 —• �� {/c,� L�
ADDRESS: TELEPHONE:
IRRIGATION CONTRACTOR:
ADDRESS: TELEPHONE:
CLASS OF WORK: 4 NEW ❑ REPLACEMENT ❑ OUT OF CITY
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UNIT
UNIT
DESCRIPTION
QTY
COST
DESCRIPTION
QTY
COST
1. RPZ IRRIGATION SYSTEM
25.00
3. INSPECTIONS (REQUIRED)
15.00
(REQUIRING ADDITIONAL METER)
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2. RPZ REPLACEMENT
4.00
4. DATA PROCESSING FEE (REQUIRED)
LOCATION OF RPZ ASSEMBLY ON PREMISES METER LOCATION
LOCATED WITHIN 10 FT. OF WATER METER TREET ❑ ALLEY
❑ REMOTE LOCATION (SPECIFY):
NOTICE: SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, GAS, PLUMBING, AND HVACR WORK.
certify that the data submitted on or with this application is true and correct. Any deviation from information contained
rein, unless pproved by the Building Official will render this permit null and void.
�. SIGNATURE OF CONTRACTOR, OWNER OR AGENT DATE