The URL can be used to link to this page

P - 42205Building 7nspectiions 763�572-3604 763-502-4977 FA� PLi71V1�IN� i��rn�t No. �+',►�ID:I ��r3`1~YAL APPLICArIyYO�T �teceived �3 � �� c; �� oF F��,�� C�� , __.�� EFFEGT]vB_1-1-201 l _ , �arfi � �" �-tt' �� l 1 � �-ovR �-rnA�G Au�cu�.ss __.r: ve � o G ►ryra � I . S'+�`...t;1----- srrE.4nnx�ss S 7 4(Z- !��.�_1� � �►;°'t�.�� I�' !� ss Gf� _ �_.._.. --- 'CHIS APPLCCANT 15: • OWNER : '�ONTRA.G'rOk PROpERr�� Ni1�: �1; UIYI w .YJ ..�°- - ' -°"�..� '.�=...� 0�� _ �' � '` � 5TATB ,_;ilP�� TENANT ADDRk3SS: �.7 �'f �_. 6 ._ C1TY�+�� PiCONB: 76.3 � p% �ii �./ / CONTRACTOR NAMI's•_ U,.�lLW� r_ .�.. �._._.._ - ----.... _... �. - SUBMIT A COPY OF STA'1 L LYCENSB # BXP nA'fE YOUR STAT73 _ _� . �.�., , ... _..,__..__.. LICENSE, BONU AN[] S'CATE BOND �f _ �, RXP DATE ,_�. �__ CERTTFICATL3 OF INSURANCE PERMIT TYP� TYPE OF WORK: ADDRBSS• ..�,....�_ C(TY_,,, - - —srwra ,�ir_.�..__. PFtO�tB. , - - ----- ., ,_. �. r'AX . _._........ ❑ SLNGLE PAMILY � TwU C+AMiLY �TOYVNNQUSB o r�w '� �PLACEMENT � • ---- DETAILED DESGRIPTTON bF WO�tK. �j ►.YI�t � i �d1C � S`% �� G � 1C � � h . p ��'n�—_.. _.. _ - .` .., _.._..; � T�_.. F13E6 Alt�s BAS1iD ON $10,00 PF;R FIXTURE, �7CCC�PT �A : I�`.h NO"1 CD. FIXTURBS: (l1�IDICAT6 TOTAL NUMBBR OF EACH BELOWj, Ml) �IMUA�1 FI:B S35.S0, �A'CH SllYK/l.AV FL�UR DttAIP 3 SHOWi3R _ WA'!'SR P1P1N; � BATH'fUB � GAS PIPING ( �+J3D CI'tY LIG"� ! SWIMMING P441. _, _ rNATER 90FT.t fER (S35) CLOTHE3 WASHBR �C{!'rCHBN Sll+l : ~'WA'f�Tt CLOSET _ B,ACKRLOW PitEV. (�615j DlSkCWASI�R LAUNDRY TE �.Y �WATL�R H8ATl3K (�35) FOR IRRIGAT ON - _ WATER MBTER _ OTH13R . .;r ; _ � .'i, :�`• `�` ?T�iu�u�`±?��h�F�;.��.,:�.�ti;tHRi��,,,�,;.;?��.��;,� ��,,., `i5�. ��:: � • •�' _ � ,.. . . . , ,•.: .. � . > . ., ;��aca��Z�;��. ..QQ...�:z�l �R�-... . :��; . . �?Tuua�ct�:A!�;��;�3a,�A ;�:R�x $3S;�t�..=�:; ..,� , � � �:.��: ' �4, > .'L�Vtil\LI3►Y:iFMs!idl{':11111_._'''i.•. ', . .. . :'LO�'s. ..,.. ...:..• ....�... . , .. ,.. ,.. ,: yr , �1.�:�...,.�. . , T,--...� , , . , � . ' . . • . . . .,�„�T,�', i � , . ` � ' � � . k'� • .:s,00? . . �•-'�-. .. i'F•;: , . �'r/�LF ' .. " . � . �•, ;�i:�l' . � • . '1 � � � , . ,.: � :� . �. I�� . i�:� � � � � �' � I' . :; :I L� . .<r'� � � .y.i: . i" . : : � � • ' � � THIS ls AN API' IGA'f10N FOR A AERMIT-NOT VALiI] UNTIi. PR6Ck�SSED I hereby apply for d plumbing permit and I ackr swledgc that the infarmation above is compiet� and sccurate; that tha u ork will oe in coufarm�no� with the ordiaances d co o �J ;'ty �'ridley and with the Minnasotx Cuastruction Cod��; that I un�; ersto�,ld tlus is not a pernut but only an appli n p r � n w k ib nol to start witlwut a permit on site; that the work will be in ac�:o,�cixncm with the appraved plan in the wt . res rev� w and appr�vxl ot pl ' � —_�, �'�� sIGNATURE OF APPLCCANT �,_ ^_ jjlT�ly.PMk P��,v]„ , nATE City af Frfcile� Buil �ing In�pect�ons �epartment 6431 Uni �ersity A,v�nue NE, Fridle�r, MN 55432 763-572-36U4 FA?�: 7'63-502-4977 Wd i�0�£E�Z6 4LOZ/9Z/ti :a3� £I£ :a��d LL06Lti£ZL9 :�o��