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P - 45137Building Inspec�xa�s 763-572-3604 ?+63-50�-4477 FA� From: 7637834566 Page: 2/4 Date: 90/2012011 2:24:36 PM 1vX�C�IAN�CA,L �.ES��EN'�'�.A� ,A��'�'�IC�T���T C�'�� OF F�U�.�Y ' _ • ��Irr��! •- -, ; �, .1.�;� �,, �. •- � i �i ' ��1 DA.Tk !� ��G� �'l { . XaUR E-N1AIL AAA�k.SS �G(f`iC.�G� r il�t.v {-�sr�� c�-�.-..� . Clw�.� S17EADDRESS Cp�S `% _J�S n,•� Gll.�r {�.� � . TkkiS APPLICA,t�1 f iS: ❑ (�YNER $�CO�ITRACTOR Q�WNER/ ��r�arrir SUA�[T A C(�PY OF �couk s�A,�� i,t��3� WIT'Fi APPLIC���U�"1 AATi�55; _ �._CIIY_ S�,A,'���2.iP Pk'�G1I'i�: coa►�nr��r �v.a�: ��►� r.i s�.,�-,� t-t C.. __ coa�Tr�c� �sor�: 1�cx+r �e i�--►cx_.j � ,r S , .. — srar� �,zc�s� a��Ltl t T t'�'�L�._ � z�.�� "€� t—�t �. Pi�iC�i� PERM�'�' '�'��E �Sf{VGx.k: �A��Y O 'fvu0 kA�LY ll r 7r �i �� ���s ��. �� ��P�.��.`��� `t I��T,A,ik,�0 DESCRI�"ZC�'N 0� WOitK FAX O TQwNH4USE ❑ ALTERAT�+DI�SRL•MOD�t, �E�S ARE 9.�SEA dN S'kO.W Y�:Ii FIXTURb, F14G�� iVHERTs NOTEb. ��',fURES: {ZIVDIGA'�'xCC1'K`K`;A.x. I�tUMD�it OF �A;�ki ���tlWi rRUVin� �a,� wss c�.c�s r�� n�►rtu�x, a zoo� as�+E ��acro�. Fy�pmenc instatted iv�G: �vz,. �( NtoD��.: �`� 7 stzF.raTO „�Q�?J'� � t�s �v: ��; _ •_1 x�1A,06 � Nwm�ser' crf �i�cau�s C� � a s.00 � . � x �t s,aa � � � .� Nucr�,ber c�f �ixbus� (t��$25A4 � $25.00 = $ � Number of fixtui.es (a� g3S:00 t ".�c $35.00 � $ �� �' t�cau�:,: s�zu _ _,--.— Mav�,: �xu �sate �+�cllarge.= • $ 5.0� . ... , ,... _.., . .�. .. ,. ._ .. . . . . , . . . . ... _ . .; . f�7t�� F�E $4t1041� Total � $ �+C������ � � , . .. , 1'kxL5 JS AN AP'PLlGA?iON f4R A P��.M.tT-NOT VALiD UNTIL PRdC�58�i? # l�r�by a�pl� ;For a ksu�i�i»g permii end I acknowladge tba+; the infaz�natian abvve is cc�znplece �nd accurate; thha�t t�ie work wili 6e in c<3k�#b�ce Nrith th� ordin$�s�es c�ci�s ��'the City o� �ridl�r attd witb. �e N�inncs�ta Cans'q'ucti;o� Codes; tt�at ��rdcrststtd �'hts Is nsrt a p�r�ut but onIy an appl' ' r a�:. 't an�d work is not w start wRt.�iout a�it; that the wa�k wilt be in ac�ordsnce with the aPpra�'ed plan in tht c�se o �c�i ' es revi a�.d appzcsval of �. , SfGNATURE dF E+P�.1Ct#1Vx' iNT NAM��� --��„_„ ����„�1A"FE ���"`�.�i "i (, L�(ii�d�mg �n:sp�eti+�ns I�e�aartment �i431 tJ�svexs�ty A,venue NE, Frad�ey, �T 55432 763-�72-3�iO4 F.A.�: 7�63�SU2-4S►7'� From: 7637834566 Page: 3!4 Date: 10/20/20T 1 2:24:37 PM `? :� `� �^ �--- �, � --, _ + � - , __�� �►� � �� � : � � ,�� c�(j��1) (,���� r� �:r� �r _ � , , � 1 � _ -- - - - �� � _l ��, � ��, __ �, ! : � ! / ` .:: . r � 0 • •: -� •m �, .•.•r"'�.c� �+_+ .� �� �� ,�� - -����'� �����' �] ���JI tT��q?���=�'7 1.� � � � , �� T � �, � � � � � � � � � � �J.` � �� � � ��� � 11 � �� �� _ �.� � � �