Loading...
P - 42100From: 763 856 0322 Page: 2/4 Date: 5/17/2011 6:14:38 PM I3uiiciing PLUM BI�1G ��ri,1it Nt.�_� Inspections ��I�����.L �FPLICATIaN Reccived By:� ��s-s�2-36oa ��TY UF FR.�DL,FY 763-_502-4977 FAX �c� Efl'Ht~T1Vlil-�-2011 13A'!'E_ , YUUk H-N}.A1L ADPRF ;ti$ Srr� AUURFSS „_�� � L � �t, � � —. _ _ ._. — — -- —• -- -- .—. . — TF115 APPf..IGAN'1' �C; ❑ ('1WNFik �R[GqNTRAt7TOYC — — � ' _— .—. � — —. �— P1tUPER7'Y NAMF:_.. [ �'� . n, txe'.��Y! [.!' OWNk:3t/ M—�. .�^1 —.. . —. . .—. ..�. . — ...—.. ...—. � . '1'�;NAN'!' Ai�i�RESS:_ZD�.�.� �.'� :���� caTY. H[nl�✓�_.G.G� .—..5'�'ATE. �ir SS�Q � YHUNE: � .... � . ..—. .�. CONTZtACTQ,tt �vnlvu;:�w� : a.�'.l u.�\n �. — .. � —.. .. , —„_ STJI3MIT A COPY ur � +-�'� . ..-- .— . .—. .— ._. _. _. .� — YOTJRSTA7'l�. 5TA1'�iI.ICENSF:�! . yZ,�jS PN� ._ _.IiXPDf►7'H!Z_.31`l,� � . ---.. ..— . LIC�NS�, $()ND AtVq STATEi Rf)Nt� 1� 7`i425 �_ �� �— ('.�R�TFIC;nTE�1� t � —. .— Hxrna�rs� !z-s�• (�..—...—.. .. nnr�xHSS:. �.. '{"3�.5?w� . ..�+� Nc�? .�r.r��Y?, —" . INStJRANC� �`Jt"1zC'�"�.�sL1 ._.. STAT'li!`�. imS.S��L�.. - .�.... riroN�: 6��� - W`�6_ . — .—. . F�nx. 7b�- �.-�6-c33z,�..—..—. .� .—.._ r��n�T �rY� � D�su�r:l.p FAMtI,Y '�'1'�� UF WOItK: � � Ni'w Q'�WVl�AMI�,Y C�ITOWNj•lOUSF. �ItkP1.AGYiMN.NT ��.TAILkiD �ESCRLIYT'!ON OIf Wt�RK rtm �•.� �. j.. v�� rti; ��... �,.►:.:� . �� C!`�.L. � .4^..'w�'_,r. .�LV ���;_, P � -�� ._� �. .�'�' t.�. l� h �i.�t�L . ...—. ,.�., �' .�`4�;t cl r. �,1n�....�L^s�._.�..is�.�/.�.r.—._ � ._ S3s. q� �ASED pN a10.U4 NER fiix�rURE, xxr�l w.HERl's rvUTEt�. r-�tXTUKH.S: (1NUU,ATt �rCrr,u, N�JMis�;K ��p ��,�K DIiLQW}. M IN1NlUAA FE[i ?S, tan�rH SINx/r.nV 1 _. 1�1.t)OA llKAlNS _. SHC3WEk � wATER PINWG .ZC. DA'I'H'I'UD � GA� PIPINti (NEliu L'lxY LI<') SWlMM1NC; PU�L _ WA'1'F.R Spt�'I'NER (S3S) ._ 4LOTIdN;i WASHi;it � iCAT(;F{FN S1NK 1 X WATliN CLOSMf 1 _ RACKFI.UW pREV. (St5 _, . lNjHWA$HL?R ,_ I.AtJ1V1)1ZY TTtAY _. WATEYd �aNATG�t (S35) h'URtltHlf3A'L7()N � _, WATER MN�rBR _ o�rH�A ';`.•'.• -' ••^ .:,...,- , •. ; ;;; • • . . ':Nui'r�bet'0►� . ' :. . ..� ,.•�: '. O.i � . �y � � u . • . , . �1.=b$ �: �i�.�•r-=.;–� , �l ��'�''' �.-�3�Y:�..:.: . ' . Nur�tbero.f•�ixt�u� �� $1•5.(1�l�. _:iq�$�`3'l�E).�:$,�.�.. � .... .. � • : . ' • •�iaimt�r�ffAziU,re'e(m:$�S:Of�•,_,.,,':z�$;iS..pQ=,$;,: - • . , : , . . • • . , . •�"tBtC ��`liFC C.. �`,,�, ' ' ' . . ; . • ' �„ ' , . .. . . � .. . ,��•:.�,,. •`S�, . .. . . . . . , � IMIbi'1�7N UM S4U.OA)„�' > . w • ' . Totc+� � �$ ''��i i�. . � • . . � . . . . ' ' �:..�::.:,.. ,.—: _ . T1US 15 AN ApPL1CA'1'TUN 1'C1N A PERMTT-N01' VALIU UNT]L 1+R(�SfiSIiI) f�ereby �pply for a plun�bing permit xnd I acimowlec�ge that the infvrniation ;�bovc is cosnPt.ete and �ccur�►te; that the wark wilf be in ounformanee with th� ord4nanees aud eodes ol the Ciiy c�f Fridlcy aad wfth thc: Miuucaota Ccrosrive�iem Cades; xhat f unde:r�tancf �his is nat A permit but oaly an app d for a nermit � rkfia nc>t alurt wil.E�out A p��t on S1LC; that t11C wp�C will bC in ; cor�lance with the apraroveci pl;�n. in the����i� ► wl�,i •h. rec�ui cw flnd app I f planc. n s�U�n��ux�orAN��i.ic�w•r d� �....�,•w�.p.3r_..._.1)ATE_ .!' t, .3'`�- t'' •- APPROVAL 1N�1'L("IY1R�R Slt.NATUH�: � /1 ��"' i•• • .— � .. . Of F►'l.$]Cy T3uildi.ng Inspections llepartm�nt 6431 lTr�ivcrsity Avenuc NF, I�ridley, MN 5Sa32 763-572-3604 FAX: �63-542-4977 e