HomeMy WebLinkAbout200110559 Pf � . =--'-L-IT 11F R��I�
-CITY OF
DEPARTMENT OF
PLANNING AND DEVELOPMENT
BUILDING CODES DIVISION
PERMISSION IS HEREBY GIVEN TO:
CONTRACTOR: ROBERT HILD SERVICE CO*
TO PERFORM THE FOLLOWING WORK:
NATURE OF WORK:
CLASS OF WORK: ACC VALUATION:
JOB DESCRIPTION: SPRINKLER, 1INSP**
PROJECT NUMBER: A20011OS59
AT THE FOLLOWING LOCATION:
LOT/BLOCK/SUBDIVISION:
ADDRESS: 5100 COUNTRY CLUB BLVD
0
PERMIT NUMBER:200110559
ISSUE DATE: 12/04/01
EXPIRATION DATE: 12/04/02
OWNER:
0 SQ FT: 0
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 Arkansas.
I or we further agree to abide by the applicable conditions as printed on 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:
DATA PROC
TOTAL:
Issued By: GRADY
40.00
2.00
n
42.00
Licensed Con actor or Owner
FOR: CHARLES G. GIVENS
Building Official
CITY OF LITTLE ROCK
DEPARTMENT OF PLANNING & DEVELOPMENT
S
723 WkST MARKHAM, 2ND FLOOR
LITTLE ROCK, AR 72201 PH: (501) 371-4826
FAX: (501) 371-6863
OFFICIAL USE ONLY
PERMIT N0. APPLICANT (Please Check "X")
DATE ISSUED eady ❑ Will -Coll
ISSUED BY
INSPECTIONS
APPLICATION FOR:
BACKFLOW PREVENTION ASSEMBLY
(RPZA IRRIGATION PERMIT)
INSPECTOR'S COMMENTS
MANUFACTURER
MODEL NUMBER
RPZ SIZE
SERIAL NUMBER
r
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q
PROJECT ADDRESS:
OWNER/TENANT:
ADDRESS:
PLUMBING CONTRACTOR:
ADDRESS:
IRRIGATION CONTRACTOR:
ADDRESS:
CLASS OF WORK: -OVEW 17 REPLACEMENT
LICENSE NO.: V0 �1
TELEPHONE:
TELEPHONE: 9 1—'? -T so %
11 OUT OF CITY
UNIT
UNIT
DESCRIPTION
OTY
COST
DESCRIPTION
OTY
COST
1. RPZ IRRIGATION SYSTEM
25.00
3. INSPECTIONS (Required)
\f
15.00
(requiring additional meter)
1I1\
2. RPZ REPLACEMENT
4.00
1 4. DATA PROCESSING FEE (Required)
-- LOCATION OF RPZ ASSEMBLY ON PREMISES
METER LOCATION
Within 10 ft of water meter )street 0 Alley
13 Remote Location (s ecif ):
NOTICE: SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, GAS, PLUMBING, AND HVACR WORK.
hereby certify that the data submitted on or with this application Is true and correct. Any deviation from
Information contained herein, unless approved by the Building Official will render this permit null and
v Id.
1
Rev.&" SIGNATURE OF CONTRACTOR, OWNER OR AGENT DATE