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P - 42743� From: 763 389 5504 Page: 2/3 Date: 8l23/2010 8:26:21 AM , ���f�IC1��., [ �41M��N1„� PermitNo.�., �1 '���'i� ' Ynsp��tions COP►��VIE�CIAL AP�P�I�AT]O� Receivui By: � 7b3-572-3604 ��TY Cl�' FRI�L�Y f�at��:� '�O 7G3-S02-4977 FAX r:F�r•i:crc'�v�; i-i-�c>io 1}A"{'li_,,. �"^ �3-)� __�i,� YC)URI.'vMA11.ADDREititi . .... ••-- •-.—�J— .•- -- ._. • srr�� nnoiruss -�.. .�5.!�. � ?-�.—s�=- 'rti�nrrr .._ --. .- --. . .._ . . _._ surr►: No _.., _ _ . _. _ .. ..— P1i01'FRTY ��3,,� °3 � - ...�� NAM�,���+!��/. ...:. `.! r.." . '�T.�1 ---.. .... - _ ------- . UWNH:IZ/ All131tlititi: '1't.h AMT . . ..ci rY ...... . , s rn7'�i__, nr ....�— 191U�1:'-- _... . CONTRAC"['01�, f�AM1i:�J,,.t� . .._ . a,� �I� �._ .J;.r�� • • . . . .. _ stis�Mri• n c�oi�v c�t� s�rn•n. t.�cr�,xsi: n. P�✓! .. . .._._ i:xr un'i �+ �-- � .._. .... . . .. _ Ynuus•rn�i���. _.1e.1t��3. .._ _.� UC'ICN`(i, 13ONUAN1) �LUM131N(i EiUN[]f!__ .... ... ._ „ _ I::kPI)A'll:, �.,..-- �L�t'I'I1=K'n�rr•.c�t� nuviii.;tis:�5.=y�� 1� _,41�,�._...,�_�—__ crrv� r��}v�1 .._ srnTt_�ii�. S.S"��1 iNSU[tn►vc�e YI IUNI: � t�� - ,�__.�-i aty � , . �=,tx —. . .. . ...__.. . _... . .. .. — PERMIT'i'YPG � �y�1'I'I'tlftUVA�. ❑ MI1L'1'I-1�AMII.Y � SWIMM7NG I>UOI. �' ❑'t'GWNi IC1�)SI? �. _. ❑ CX)MMI;RCfAIJINDU�'1'ELIAf. ❑ (1'I'HI:R . TYPE ON' WQRK' D NI:W �t1:P1,A('f:M1iNT p A1.7'I;ItAIlUNlKI'.M��n�'I. DE;'I'nII.ED DCSCRiP'i'1�N OF WORI� e_ �c�,�, ..�!^��;r. ..� af' v«� !!� �.�c��,k-.. ��?!�'��'!�` 1�[?LTURI�', (INUtCAi'f T<)'fAl, NUMfSlilt Ot� F.ACHj C�,crr�i��.5 wnsin:u i»si�iwnsi i�x __ DRINKIN(i I�UI�N'i'r�IN , I'AlK'lil' I'I.AMMARI.I: WAS'I'1:'t'ANK Tntnt Jab Yelustion 1'7.UUlt 13ftAINti „_ ILN'!. VAf.\'li _ (JRITr'AI. �: t;n� rIPINCi 11ACKPI.OW PR�V. _WAT[:}t IfIsA77.K _C,KI';\SIi9'IiAY _Rf)f71'D]tA1NS _.. WA'1'IiRMI:I'IiR _ KIl'(:Fil!N S31�K _ SIiUWL'K .., WA7'l:li PIPINCi f�At:WI)ItY'I'IiAY ,. SI.UP 51N� __ WA7'IiR ti(fl�'I'1::1�1iK �_ I,AVr\'I'URY _ 5W1MMI1�(i !�(Xll. .. . WA'1'IiI{ CI t)S1:'f $��!'�iy�_ All le�s t�ro b:•�scd w� v�luation, inetudin� thc cos� uf lalx>r acNl msrieriul�s. s Pcrmit Fec S (1.2i'y� of Job Y�lultion / Minimum fec: $35) :�urchark;c; $ _ - �— Vsluntinn X ,OQQ5 or Minimum .50 "I'otal Duc � ���� M�Ice Checka Payxble to: C;�ty of Fridky • , TI I[ti 1S AN AYI'L,ICn'fft>N l�i)li A 1'I?ItMI'C-NU'1' VAI,ID UNTII. PR{1C.k�wRf•;I) 1 l�excby apply for ��lumbing perntit and 1 acknowlctl�e that lhC inform:�tion nbove is complele and accurule; tllat thc work will ho in canibrmanr,�.�ith thc ordinances and cadcs ofthe Gity �f Fridley and with the Minnc.xota Gonstruction Cod�,s; that t undetstwnd this is not a p.Ymit but only sut applic;�tion for e� prrmit znd wark is not to srta�t without a permit, on site.; that thc �y��k will be in yccardanoc wittt the appruvcd plan it1 t1►e case af • ll wark wliich rcyuires review and approval of plans. 11Ci1`�A1'111t!', UI� AI'I UCAhfI' :,� - � _ r� N 1� � i�. Cr _��' d.•� � _ UA 1� j���_{{�J � . --. _._. • ._,... .______._ ' "'. _.__". - ��A �.�.� /D P[,r•,atik r��mE:_SCPArtn'I'� PERMITS aB(�UiRCn�OR DUII,p1NG, ELEGTRIC�n�. hNDMGt'll ' CRty of F �dley �uilding �nspectians Dcpartment G431 �.Jnivcrsity Avenuc NE, [�ridley, MN 5�432 763-572-36a4 FAX: 763-5Q2-�#477