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P - 42186
From: 7637537540 Page: 2/2 Date: 1/24/2011 8:47:37 AM �ua�ding 1VI�C�ANT�AI� �.ispections R�SIDENT�L APPI,IC,A►.`�'�ON ���-572���0� CI'�'X OF` F1�ID�.,�X 763-S42W49�'� FA,� �c�rn-� z,i-zoii srrE �a�s�g � '�'FII� A.Ppf.IC ANY TS; owiv�Rr TENAN� x� �-rsnn. ���N� �r` c� vtiv�att �ot�cTO�t � , � r'��� s: 2� - t! �'__`!Ir� R7 1n ^.+...�i'71 � �ih i�� � 1:�J1r1KH.��.v.eC GOlvIPAfT� Nt1Iv4E: i.d'I 7� �I�J �.. ��C}B�IT A COFY OF CONTAC'.T Y�'3,iSQN: ��.1 /�- �� YOY3R 5TA'I'$ STATE LiC� � E7CP DATE x.ICENSE Wtifi �5;���� yr �. � ,F�PPLICATl4N p,�pNg �.�'l..�I�`L�id �. FA�L , '�/>� VI tY�1�1��M.A � f F� �__" "" �'!t\+. � .�. I.i � F'.'IaYa1/+� TSC�'E UF WaR,K: Dz�e.w �se�.ac��z ��rA� pES�oN oF woRK I� � � !►a.l • '1 ■ . Yy: . Y. • � :r. ir,. ai �eTlYilt �eceived Date �ec'd:_ ��fi"�Il 31� � a�s a� � a� sxa�s r�s �cro�wa. rs�c�arc w� xcxrren, r�rcn�s. c�xcA� mr�x,. �ta�oa�.o� �wcs �,awa P"�DVmB SF�A.T xAS� C�°s PBR MANLIAL J TY96 A9�tE SA1�ri800I� �iv�ra.mn�a ra�� T . a � �ons.: �I.IJi }�D�C7 s�rs3v,�� ngc: nso�a�a..: t�o: � MqDELn �1lC S25.Oa FIItFPi.ACE (GtASy iAS.OD AIIi ?O AIitEXC.�iA3ac3F.E� 3i5 F1,RFYLa.� (�t'l'X7D) 535.01} BO�,�[L S3S.00 �FURNAC� 539.00 c�.�u� szo.00 �ns a�xx�t sia.00 ""nucr wo� s�o.ao a,AS prnn�ic+ Sraoo ... sz�nsxu S�77J GAS RArTC�JOVEN 514.00 1VBW GAS (3R�� �10.00 �"GAS UN!? FTfR S10,OD PO4I. i�A'I'F,�ilCi5.A0 '�ki.l� IS A�I APPLiCA�ION FOR A PL�ilvxf f-�7OT VAS.ID UP1'fiL pTLQCB�S3�A I ht�b�- appk� fuJr a buslcii��t petYYY1t aUCi Z acl:noiYledgC th&E ihC 133tqZIA7akkOi� above i� con7plCte Axld aCCUiaYe; that th,e �rv� will b� i.m coD�Ol�ce tcith the 4tdi3pstlees and codes o� �e Cxtc O� k';[Ad�ey at7d �vifh the MmntBOtR C"AI]SttliCdi010� COdes: t�aE T tmde,r�temd this is not e pemait but onh? an apglicat�om :foz a peunit aud �tir1c is not to sta�t ,��ithowt a pannit: that tb,e r�ud: �� be in aocardat�ce ti�ith tiae a�rot�ed p}�tn in the case o� a�l �ti-orl: tivi�ich requires revite�v a�ci appra��el of pians. . 1 . _ _� _ � sxc�rr�xt.� a� �p�r.c.ar�z �61vATi� City O� Fi'idley v�di�mg �u�pectians �ep�rctxuea�.t 6�431 Unir�ersity Avew::ue+ �E, ��idtey, MN 55432 763-572,360�1 FA�: '763-SQ2-4977