IR - 65457' l. „ ;� I
INSPECTION REPORT
CITY OF FRIDLEY MINNESOTA
(763) 572-3604 _
ADDRESS o`i`� �"y� � �.� � J
OWNER
INSPECTION REPORT
�A'TE R�PORT
If no correcti(�lre listed above, approval is hereby given to proce'�ou will be in
violatian of the �rdinance if you do not call for the proper inspections��d make
corrections as called for.
..---.
Reference No. 602-02-0114 ��'
..�.._---.�,� .____._
Request For Service R
City of Fridiey �
�
Service Requested water � sewer inspection Date 3/14/02 Time 7:25 Al�t
Department Public Works Division Sewer
Location Of Service need 5942 Benjamin St NE (new home)
Owner or Agent of Property Phone: (H)
Name of Citizen Phone: (H)
. �
Address
�
[�etails of Request New property nee�s a water � sewer i�spection. Appointment set for
Thursday, March 14,"'2002�@ 11:30 AM. `. �
Request Taken By: Jeana
Department �P,GJe,i�. � u}F}�"�
Person responsibie for request Title �, �� ��T� `��S
Action taken (include date 8� communication witM citizen) W� �. � _�
�_ �
Date Cleared � l�'%— �a� Citizen notified Yes No
Signature of person clearing request
� � -