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P - 46948MO�-02-2011 01:23 J.+tu4lYtt�Al '�' Ynsp�ctions 763j�'72-3604 7����0�-4977 FA� srrE a;t�I>�sS ,.,_(� 'I?�S RI�LICANT IS: "�ExqNr 81J�NllT A COP'i'' pF YQU1l STATE L.IC$N3� ANA �R'�'TFICAT'8 pF PM STANDARD WATER CdNTROL 763 537 1882 P.01 � �1�-'���T PBrmit No. r' RESIDEN'TIA�L APPLI�AT�ON Rec�iv�d By: CITY O�` FRID�.,EX" �������d, E�h � � � �,,..�,�, . . --- - '�ova �-�au, annu�ss ��'I�J�: ADDI2�SS;,,�� v ,�C7T"Y 3TA'r'E Z,l,p PFdOAfE: � � ��,. 5TAT'� LICFNSE O S2NCxY.E BAMa.'Y'1t,�W G'01Q5'T'RUCTION C7 TWO fAMt�.X/NEW CONSTRUCI30N � 8A3ElV1EN`Y` FINiSH 0 TtbOF r � DBCK 0 S��Tii TY�E Q�' WiiRK: d NE'S�V 1�iQ� CONSTRVCITON -- —�-0 ADDFfTpN Q MAIN f�3NANCE/REPAIR � REMOD�LIN4 n�scxi�� wa�uc BEnvG flar�: ' �,,. St2� VF.MEN 1' LEh�Q� �� N�[J OF S UAR�S 0��US.E ONL'Y Q ..�.� ❑ HOT�'S� � QARp.G� � ❑ ATT'AQ�D QAieAaE PROPp�D SI2.E: 0 D�'X'AC�F�D GAF.ACiE PRQP()��iD HEIG�^" 0 Viny C[ Alud►irium C7 Other.:... nv�a o�sNn,ros oY� oxo OR FQ�Ii 1riEW QP�T�1dS-DESQ�� SI2£ O� OPENI�!1F� CHANG�S Bt asor�t � Trlm C� Fescin LOCATTQN QF WiN'L}pW$ C�RT FEE9 ARE �AS�D QN VAY.1']'ATIQN, 11�TCLUD�NG THE COST pF (U5INC�THE 1997 �7.H.0 FEE SCHEDU�) ''VALUATYCIN S �i :���_ !1!7 Permi� �'ce Plsn Ar�+ievv Fire Sti�hNrgc Sw�ct►i�tge Lice�,s� Surcharge SAC C#t�r�e Curb ��t E,scrow Es+osioi� �Con�ol Park F�� Scwer �tain charge To�l Ui�e CI7'Y T�.E AT� �p r�t�tr� � S F"t T• 1• �adsdngF[oorPl�n 2, Proposod flaor pian 3, Li9t ofstncctural mcmbors to bc used FOA NEW CONS'i'RUCTYdN INCLUDI'NG DEClCS, AY1n1'TI�NS_ � Pa4C'�4 cr ra�••T, �. Siu Plan/Sarvey showing the exis� swcnues and hropo9ed Projecf. 2. 'i�a sets nf constnxlfon plans 3. �r`y Calcuietiom �'OR WINDt�WS — PROVIi}E il-VAi'LT� AND MAN'EJFACTUIt� STI�A ON WiNDp'W, OCCU��v4Y T"YPE See �ack Pag� far Fee Schadnle 63°/a of Building pernut �'ee .001 ti�nea the tatal job �atustian .00OS x Pemut Valu�stion Minimtun 55.00 $5.00 (State Licen�e�d R�sidentisl Cantractors) $2230 per 5,,�lC Unit (Plame ta MWCC for deter�r,ir�atian) � �- � f�'� fi x $25� � $450 Conserv��ion Plsn R,evievv �T �e� betemiaed by Engi,ncering Agree�nent necessary ( ) Nan Neoessa�' ( ) M�lrc checke p�yable tos Citv of �r9dlcv e+�.� TfiTS TS AN APPLTGp'x'IpN FOA A�qT-NO'I' VALID LrNTA. PROG`�$$ED I heret�y spply for a building perAait and I eclrnowl�dge that t�e inforrnation above is completc and accurau; that the wark will be in co�fot�#1gr►ce with the ordin�tuces �nd codes of the City of Fr'sdley and witix t�� Minr�csota C�nstruetion Codes; that I understend this is not a permit but onty aa a,pplica�irnrx for a peraait ead 'uwark is r�at to start without a permit on sio�; that the r�vork will be in accordance wid� �e apPm�d pi�n in the aase of �s review and approval of APPR� .. INSPECY'OR S ���� � PRINf NAIu� riATF, I% srGNA'�JRE qF arpl.�caArr IQN .. w.,....... ��._�,�s—�.��.... _ NO�-02-2011 01:24 PM STANDARD WATER C�NTRdL T63 537 1882 ��r�►Na��� w►a�r�� ��NT�to�. s�s���s� ��c, �337 t.aksland Av�tus North �"'19 $wanson BIvG� A'I www,ster�da�dwdar.aom Cry�Esl� MN 8d42p CNve� lA 603� Fax (7"98) 597•1882 � �: �U� eurwevr.6E ar. c� du�una � �uTBrA�! n�s wo�s (veel a�� roe�) T�e�eeei cee�y e�w�a� � sss�orer (�e� rs�-��s tea�f ��AOO) ��re� �aia� aew�ee V�►Proomp B�nn 7b �s kNleNed Ror 1�rnbe � Job 8�e � p� � ' N�ro AddrrM � � � �..�L�'� �' �p,,,�, Hon» PNOne (�� (�o Flor�. Pha�..,( ,.. � Wonc P!►arw (�1 wark Phoer ( } i M�tfdl�d W�r pp�NtW �ps, Ina �1 tu�nl�h.pN i�bor ae�d �irMNlr 1br work r �prtlfl�tl In a000�d■w wiM� d�kq 6darc tll�dbn �IIMIIa11Mrd b 6� �s �d #NY Oolqpl�dd ht a•� � MI Ylf tl'rrll! IYdo1�r1�MIM Ob11tl�01N �q111f� prllblif 1101k � �Oh � IMII' 111� a11tlo1P�11,.C�lllllrf eNU!'�IOMr Mr01'k IXlN � ao11tlIM1! WIN�IIQ IIMh 110 «1111111pdp11� Isdll jOb I� � rINN qtl1�M1Y�It qMO�. �ny �qr.nl.nvia a�ur w r�ld� foe �wk er �peeuee w�u e* qer �iq nen,�l biwu�s eows, M�K aran b a�ru. OwnMr a rMpq�p !or I�dlm af MIIONa.reM�oEOa{s� a�ppw �onovcld� dN1p1o1�(� M�d �Naule�� p1Np1(� r1Mn �q�il,�1. NPi01RCJ�TIQli� • pIA�RAl1 tM A11eA YO �! �iYlO� � �.�...��"_�. sp Uo u : io� � �� �'. Pp01YT �� �� �14 aWflM' %�1�9i 10 �y (`iOfl�CIDI' l #URt !M �bMlO A. �. ��3e.�s�� B. QIIfYM � � C.Oqror_ ,. $ a.���, � '-- 3U e. r�ewr, �eM R� C K'�"lol�! y p_--- �. � unpe�ld Balanos 9 (� 0 t�#!11 upon o4npl�fon ❑ 7b l�0 F�0 0 VIM - M��tl � DYao�r Cprd Zb 6r I�Ilid endlbr p�rlpr111rd: ��� pp�. r� d.��o �r b ewn,l�. wrwino �vak � medim in M►wep. �1M�wa.a,. � mr�. � d�a n a� r�ur, .,d 1ab�no aww.r. Pwe+pd ohunond or�Yrdo � up wYt ud iq� 1�p, Pohr �r� mol.r.�. b�a�r 6�6rrrn dmknp� �yM�n �„a ear wnMne R� �nd npuor aa� awr drtlnnlr �Iyr1�n, �"�4'de NdN h�VN, t�tpe iq SorY�Ptl� r�l rhan �p �eedllbna �:it MoMrlry� ' .. . 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If ��PMRN11t iM� rtl1lp�Md �t yGR iM�M10� N� r0111�11W� rMel'!t tlM �qpd� W1d /�11IC�/, 1►ou �!r a�! e1M� aOrwtn�tit hy ,�IInQ � ndtlo� to ��'T!� notla nury �Y � Irou da not �k If� 000ds a �wla�s wl r�wt bt nsrYrd bN�oa midnioht of tlrr Wa! bwY+r�r d�y aferr ��n tl�ts *pr�+r+nt Th� ncW+� nMat b� m�n.d ro: eoa�d.ru v� c�e„�+ni �eNns, �+o.. aa�rr c�waw.�,a aw�,w rro�a,, crys�, �wnn�a ee�. ACC�i'ANC� 0� R110PddA1. 1 hew� �y rr.d both tM� imr�t #nd th� 6�elr or thtr Ap�ment, ihQ Jab Pr�p�ratlan ��ellor� Jnb Prep�ratbn Ci�sc�di�, �d �10� !hs pr�ae� ap�aNbedlana itltl oae�qane, l'Ifr I�rme on bah �Id�s af �tlt Apr�Mnard and 1tN JOb Propan�bn letbl' em �Dry � da a�e w�oru �,� eevletlon trom w. drawlrw +rx� ��vs wld r�nw m en a�mra a,eir�pe. lrou i. �ua�Zea ap� w m�lae paymrnt � outltrwd .bo�rs. +n�a .� o�,� � �,�, --�� -1� � �,.. �. � o,� � MIfrN�pTA SLML61M0 ODNfAAd7'pR LIOd�tii N0.1!?� ��IMc01H1 P.02