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P - 62699B�.i [dir�. - . � P'LUMBYN� F��,��� �r�.`:?�17� Ins��cti:ons RE�I1�E�'TIA.L APFLi.�ATION R������ �y;(�tF 763-572-3�04 �j�I'� E)F F�t�i DLC+ � L� 763-50Z-4977_FAX �£���,,,.,,, , . ,�., ���'� siTF nn���s _ T�{lS APi'L1C:ANT [5: c�vVN�;R� T�PIANT o awri�R rtn�L:,-� nnt�RFCC Y()tlit E-MAIL AE�DRESS � � _.____.—_. �-- :----- . i;UIYTRACTOit NAME: SUDMIT A CQYY' Uh r� YOUIi STATC 51:A'1'E LiC .. fl /� L1C�N5E, C3CENTl ANU 5'!'A'r� BiiNb # (:�RT1FlC'A'!'E (7!' AL7DkCi58:,�_L1 , _ Cl7'Y� nvsurenrvr.r•. a P1[ON� '� � FAX PERMIT TYPT: SiN�E,E r�1MlLY O TWQ FANFILY ❑ TOWMiIIOUSL' TYPF� UF WORK; ( C7 rv�w DF?TAlLEp DESCRII�'[QN OF iil�()RK �Ht�t.ACEMGNI' I+��C�s�ra�%'i�Y��� F,XP UA7'G I _ _ _ _ _ •--�________�_� --------- FF.F� ARC BAS�D 4?N �I O.OQ AGR F1X7'l1RF., F.X��[�T WiICfi;L; NfTTF.T). FIXTURGS: (INUIt"ATF.'FC)TnL NUMaGIt fl� F.Af H RF.I �t7W) jutjt+((Jy�UjyJ F1:� $35,50, _ R�TH SINK/LAV , FI.QOR DRAII+IS SNt3w�R Wn7'RR PIPING BATFfT4lB (iAS AIP�Ir1G (NC�ll �171' L1�) SWIMIMINGi PC1f?I. � V✓AlF,.1t SQFi�N� (S.3;i) .T . Cl.t?T!•IF'.S WASHER KITCHF.N S1NK T wa���u� c'LC)SF.T FlAGKFLQW i'k�Y. ($1$) _ D1SHW�,31•IEIi _ LA1INn[tV 'j'RJ�Y �WA7'L!t HF.AI'F?R {�3S) � FflR fRftfG/4T[[►N � WATCR ML;'CER UTHF.R � . y y — .,n& . Y y �p�. ~ A�rj" � , y �� � � y . H�' ..... .,... ���.�o�� -��. . � > .. r .��4 � Y� �jr. y � 1 t � � k iB ' • 9+�'{�•M V . �' . M 1, i� Y' .g ;��.'t�; ' � � ^'Ti�,� .�,'s• �� ..1� �• � „�,i,�a � :.o� � � . � { , ��.� t� �... � �CY � �•;;9f+��,.�. . . :�,p�ti : . � J .. 1,... �� �♦ M. � .� L': i .: t .LT.`�4asLi�`•r"4ge.� ,�'.Ei!I�.u..w..�w ���..>a�lf�..an �. . ���' �'�'�'.. ���.'..'�stdl.... .. . „ e +� . . •,�{ ��� �. .� . 3 �'. ����� � � � 4 �. . �'� l r��/'' � ��"1'�YG� w�iif�;.rM�'�'",�i . .�" � «.�'°'n - t.+. .1:��.. +� ,A . F . ^' �._ •���. �i. .� .��i. p� . . . ' ._..__ :�, — .--". � . .�� .... ...,.. �,.. ......s,� . . � .. . • . :._ ....:. ,.�. .. �. ... ...... . . . : ,� .e .,. . ... . � ... .... ........ ...... �' ......•n'" . .. ........ a. w�.. '�.... " x.¢.. .1'HIS IS AN APYLlGA71[7�N FQR fl PCkl4tC1'-NC1T VA1,ji} [fMTIL f�Rt)C'FS$F.l:l •. 1 hereby apply fnr a plumbing Nermi - I acknowi �e tht�t thc infc�rm�itlon H6ove is compiele and accuea��; that lha wark wi11 Ge itt Gonfs�rmanc� wjth the pt�insnces and co of the . c�f Pridlcy and with ttic Minnem�t C.unstru�;tian f:ades; th8t 1 un�icrstand this is nat a pet'mit but nnly A� a licativn for 't work is nc�t t� s�rt withoirt a pet�ttth an sitc; that tl�e �rork wil! be in ac ant;c with the appmucd plan if�e t requires revicw a��d m�,pro fn 1 5. � 7� SIGTIA'[ilR� UF APALI N I� ' ' DI)T1JT L� ���ci I�PI�+�� I�l�.,I i1�J'�.IL9_�� 11L s s � c;ty of Fridley ��ui�d;ing Ynsp�ctiQns Dep�rtment G431 University Avcnue NE, i�rid�cy, MN 55432 '763-5?'2-36U4 H'A X: 763-502-4977 „ ,� � �„n����,,, , ,n, �n���, � ��,�, �" n, , � W� LE�t�0�6 Z1.OZ/94/b �a��a £i� :���d trS90�6Z£9L :�o�� �