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P - 48018� � .�(, �r� 1� ��it�1637834566 �� Buildax�g Ix�spec�ions 7b3-572-36U4 763�5oz-497� k�� . ..,,,�., .\ . "�..� �i\ S1TE ATJA�ES3� TEI*1�A�1'I �ItOPER.TY UWT►tER/ 'I'LNA1�T'� 0 Page: 2!3 Date: 11/3Q/2011 2:20:57 PM CITY_.Q� � � _ EFF'�G'ZIVE 1-1-2011 Y4LTR �-MAIL.ADA�SS � Pernu� �Ta.� I�:t�, la� Received BY: �� ' Date��+�� pHONE• CO�TTRAGTO� 7C.�,p�v1E: �"'r � �. �,C.r sii�MlT � COPX a� ` �"—��...�-�� YOUR S'1'A,'I'E STA,T� LIGENSE # t`��^ �n'y r�cENS�, Bonm A1vA �.u�nv� ��rm # °�� °~t. � C7'� � GER'�C�ATE OF AAAk�ESSs'�1�,..'� Q�,� �, a� '� �. TNSLTRANCE �--- � _ _-, y. _r-� ,, ti � e ..- .. a .. PERMY'�'�XPE L.1LV�AAAUA�VPiA ❑'�'QWNHOU$E z�� o� wo�: ° r�v" . J�ETAYLED A�SCRIpTICIN�Ok' WORIC .�.�, 5�,�..�P� �+Q�c�.- �r� ' �e• � r�-ir., Q.:Q � •- �. i . � �.�,6 � _ C�,4x�iPS WASFIER ^ FL44R AXk:AII�IS �DISHWASf3F,R ( OAS PIP�NG _ D��TG FoUTFI`AIN ,,,_ GRE,ASE '�t(+� � _,,,, FA[TCET l �'x'Gi�EN' SIIVK ,_,Fx„A�,A��.EWASTETAN�C ^LAUIVDRX'A'At,AX _ Z.A.V,A,�Q�.Y Valuation � �T3LTi-FA1�,.X � COMNxFR(",�A�,1� �Ei'iACE�7T Nb, $TATE Z�P,�„ .—�p�.� :�.: �.� r� - _„` � D�T'lE `5xt�32� S'X',A,�'�.iIPG�s� � '�1,��-�.� �� a swiM2vIArG �pa1. , ❑ CY�'HER ❑ ,ni,�eFRA�oN��aaa�� `�' „__RPZ Vi�I,VE _TJRINtAI., BAC�'LOW V. _ WA,'�'��t,�JEATER � R4�F i�1tAII3S � WATER ME'��t . _S�T4WE�t _u'A.'x',E�t"kiPIIVG ' _„ SLOP SINK �„ WATER Sd�NE�i SwIMMTNG FO' [. _ WATEA CLOSE'�' �,.._,...,,,.:,.;:;:. •..._ �:,.._W._......,,,,.:c,..: _r.;:.r:..i ............:.,:....._..._,. ...... .......,.�.... ............ �,.,.:-:::aa .._...._....-:., M ..... .._ . •--.,..: •-• - — - ... .....�.»...�. ._.. _... .. .. . .........._......._..�..;.,..,..�, c ... :: __„�: �-::�::::::::'r.•: ;....::.::::::.,., _ ......,.��,:.,:..:.:�...., . ..��.�. _.,,....:_._..r.�.�.��•_• �:_:_:,,� _.......... s.......,,,,�, .,..,. :.....::::..:.�..... �r.,.,.,-,,::::: .........._ ,...._..:.,,.,...,.::--..:.:_,,,�.,,;::=:=r - - , .......�._._.e�,:::,r_ ��:,.:.:::_.. i.,�.s :::::.:......�, -:-:. ...,�..;.;.;...:•:. .: . ... ... . .. ....... ,:.. _.... .... -:-["�� _;� �.��r-��,.,,,,�..:�:.:__.,...... �a... ,,,.-:�.,.._... ._.__...._ ... �.:.. .....,; _....._.. •-::---_.. ._..... _:•_�.r. l fees are bascd on v�luat�rna, i�c u �� c�ug xYte cosk o� �abor �d mateaxals. lPcz�it �ee $ � b . (�.25%0 of Jab'VaIuatxvz� / Minim ' fee: �35) Suxc�aage $ # ° t � Valuat�ar� ?� .0005 or Minim.u�a .5 Total Z)ue $� Make Ck1ec�CS Payable ta: Gity pf ridley ' 'l'��IS IS AN AI'PLI�ATION k0� A, �RMPI'-NOT VALII> �. R°ZLOCESSED I hcz�eby app�,y �or a pi�►bing pe,rmit and z ac�owledge that the iaa£o�atxoz�. ab4ve i, cam�lctc EU1d aCCUTate; tb,at tbe wark will bs in cot�f��auce wzth tI►e ardinances and o4cies a� tb�e Gity af Fridley atzd wzktz tli,e Minne ' ta aCotxstruction �odcs; that I uncf�atsta�ro,d tba,s as z�ot a pcnnit but vnly aia a�plicat�on �or a permit apd wo��C As �aot bo start without a p it on site; that th+e wrnr�C wi�;1, be in accordt�ncc wi�tlz the app�oved plan in the case v�' a work which reqc�ires val, o£ pj . SIG�tATURE 0� APPLICANT �' � k�iN'� tv : � A.A'�'F' �i �'"' j�� City vf I'rid�y Su��d%aag Inspecti�ns e ent -r-j , . � 55432 � 763-572-3604 �,A.X: 763-502 ' 977 �