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P - 39360�Z!1_����!� � �� � � � ��� � � � TaPt-rY;it T�in.:i�i' r � � V � lJc.� ( v �. ,u�..� ,�. r � � In�pu�t�o�s i �2�����i�T�'I.�i.� ��'�'����i�'i��rT � ���e��e� �y: %�11,%� 763-572-3�Q� , , -, , . 763--5�J2-�977 �t� � ��� � �"�' �' id.���..;�:Y D�tc��t:� �:.: s..: � ��` � � �� ) F�r�cTlvr �-�-zol� ------ _ __ ----- --. __. - - - -- _ _ - - - -- - -- — r�ATr' �� vc�� R r_-a�,art_� a�r��rs� _ — - - -- _ - - - _---- ---- - - ---- - -- ---- --- SITE ADDKESS _ (� � ' � F�____�y�� --- — -- --- — THIS APPLICANT IS: QJ O�Y€�iER OCCIivTit.rll;T��iZ PROPERTY OWNER/ ��Mr �P�y�l�`� P>tes � _ _ _ n1 __ �l V?-� _ ____..__ TF,NAIYT ADf)ki�55:.���__'_��f —�V� 1�� --- Cit'Y_ �c^,y,l�t!�_— -----SIAIE�,1LI,ll'_� L�L— J i� io'.ir:�(�_; � i � ',%Sbf� CONTEtACT[3R �vAN�t;: -- - _ _ ___ _ _ __ __ ___ __ __ - _--- SL'I3MIT A COPY t)F _ YOUR STA7'E, i.ICE;NSE �'[�A't� LtCt��SE #r ��E_iD C�;ttT ri'btt��;ti AND CERTtFIC;1TE (}I-' ADi�RFSS:.__ _ _._.__. ----. .._ �__-- ___ ---___ _._-.-----__�����Y---- --_____ ___---_STATF,-------ZiP. 1�SL'I2A�iCE PHONE FAX ------ PROPERTY TYPE ❑ st�;c�i.�: �-��ttLYrn�;w cc��s���ti_�cr�o� stz� ❑ T�oJo r� a;���t,��:��rs�r co�:s1-;wc°� �c��v s�rox�r:s PERMIT TYPE O ADDI"1'lON 0 GAItAUElSHED O WINIX)WS ❑ BASEMFNT FINISH (�ROOF ❑ i)RA1N TII.F_. O dF.CK O SIDiNG O Q'i'ilti�R ❑ SWIMMIT�IG POOL TYPE O�F WORK: ❑�v�w Ho�vre coxsT[tucT�oN o��f�s�i�rrc��; �MAINTENANCEIREPAIR ❑ KF.NiOi)N:7,fNC I�i�:SCNIBE �`(3RK HE:ING )X)iVE: �e�►L--� __s�±�� �e'�cdt,` hovS� c�� q�%�e. -- _ _ SIZE OF iMPROVEMENT LENGTH WIDTH HEIGNT SQ FT ROOFIPiG Q 4tJU1E� E}�II.Y NUMBEKOF SQUARES � � 11UL'S' ::.� t;:;fZr1L;L: F3AS�:MI�N (' REh1(?i)F:i_Ihti Sl7F3MIT_ — t. F.x:sticLg FtaGr Pt� GARAGES �l A9°I'��('iif �(;AR=1QE 2. Prt�}*+rti��3 t��s��r t>s�ri PRCJPQSEASIZ,E: ❑t?f?"1',^.�'I!!t?(�/1t2Afs(^ 3. t.±�tof�l,,r�t�t'.31 �� t':t>,:.2�!?e tt;t�l FRO}�>C)51;D i�E3G}�I"f': S[F3i,lr t C�r� �i� r C,C?ivS � i2L;l; E IC} � 1iJCL,Ui)i1�iCi [3ECKS, O Virryl O�d�Ctii ADt�i t[t)NS. �c t'c)Ki,til;5, St1i3lvii.l; ❑ Alaminnm ❑ Tr:�y3 1. Siie €'lanr'Su*vey sl7c�wing the zxisting stnactures ❑ Otl�er ❑ Fa��;is ancl �r;��pce t proj�t. ----- ---- 2. Tkt, s�ts !�fconstrti�tion �Ean; Rl'f���{�'S F .�-o.� ("�,#r:rl�,t;�rzs � . . IN�XISTIPlGOPENINGS ❑�:y 0"�ia L:�':1��.:�'!vG} ,:S".:?:.',1�5 }�::321;'._�L"�:"�S ,::'�?:';:'�,;_ ":I�L,�;.�;>;�) �i� �`(,i:i `i, r v1 i;i� ♦�.�:i-ii� :� ��ii.ii. �v.�:, i_'ti� iV(r\s �iis�r���i�a.%i�i. o i ��,i�i.�� v�v vr't vii�:�v'Y`. _ . ..... . _ ._ . ..___ _.._. . . . . .. .. .___ Uri�rvirv<� �.ri.iivi;l�S � 7'YPE UF WINDOW "CO Bti tNSTALLED NUMBER C7F WlND061�5 ALL FEES ARE BASE�D ON VAIIUATION, INCLLIDING THE Ct)ST UF LABUN AND MATERIA�'': (USINC THE 1497 U.S.0 FEE SC`HED[�LE) TOTAE, JOB VALt1ATI�N $ OCCUPAI�CY TYPE ______—_-------- -- -- -- �i i w' . � _ � i Si `� � � . • � �t` i?' t:: .,� � F,' ' .t , . �2 � � � f �`)1 � ��J ��dC�j' �i � � ,if _ � �i �� ���i �ti�t� t,+ + . � . (1/;n ,-, . : � a • • c - .�� { .<f .���e� .... .�..� . . " . '" . . „ ,isr ♦ : .f . I,II'PitLE�'. 'A iRi•i,:+i,-��.-* .A . . _ �•,l lkt) i \iuir i . .. ' %t ��. �,.�,e>..:,-...x[�� Q .r�.'.r �w� �+r�..��. . _.. _._.._ _... _ � n .-. � . � � ...rv i` i � ,�.� r-z ., _,., � �'� �' :: , ;, : : �^, � .. . �:. ' ,. t',,n1 . , �� _ ,- t , ' n i n t� F a � � k�t:�n i . !. r .i4W � . . . ._.. .. . . _ It � Cl �d .....- 11. X M �J— `.�... r� .._t. � �� �..�c., .• ..� ._ rr,� ....., ^ _: _ . .,..�, Paa �, �'e�� _ , , • - � F'c`E' �i�ii'� R rctr:: � �';�"i.�` "�e:� �+ r • r,� � � . , i � . . . s � : � � ... , . ..e�,�3a � ;;... . .. . . . . . ��.�a:-e• � � f i .:,� � ,� i �a � y co _ __ . _ ., �� ._ s r ., . :�,:.,� � � . _ , x,n, � , � . , , ;:..: � .-, t, „ , .,,. ,., :, : , ,-, _ ;v„ . _,�, „ � ,,, ,„ , ;,, , � � t n� � ;-:,.,;- i� I herehy appiy for a buitding pen�it and ( actcnowtedge tEiat the information above is colnplete and accurate; that t�a work witt be ifl conformance with the ordinances and codes of the City of Fridley; and with the Minnesota Construction Codes; that I understand this is not a permit but onl}r an application for a permit and work is not ta start� «�ithout a permit on site; that the �vork will be in accordance wFth the , • r �, ,,• , • i• r r �. � � . � , ,..,a. x�� //is ,�les �' , , , , ..: � --7-// APP�iOVAi lA(SPECTOR SiGt�kATt3RE , •.�.• � ,,.,.•�� �