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AF - 37985� � ,^� City of Fridley, Minn.. BUILDING PERMIT Date: Se�t. 9, 1968 ����� �� N� 9924 pwner; ,�omedal,e Bu ders g�� Sa�g_ _.. pd� 5217 Wayzata Blvd. �,d�� Same LOCATION OF BUILDING No. ��........ 8treet ..— Concerto Curve � .�.._, p� of Lot � 15 __ glock 2 Adclition or Sub-Divisicn _��� Me�ody Manor 3rd Addn. Corner Lot — Inaide Lot X Setback 35 �—____ Sideyard ._ 12 5ewer Elevatian _____ 873 .74 _ 876 .74 Top of Footing DESCRIPTION OF BUILDING To � v�a as: Dwelling �t 36� Dep� 40� g��t 20� Sq, �, 1210 �, �, 2r4 200 Garage Front 20' Depth z4 � Ke�ght 1 �� sq. F't. 480 �, �, 4800 Type of Construction Frame ��, �_��00 _ To be Completed Dec . 1968 SEWER LOCATION - 39' S. W. of Manhole WATER LOCATIOIQ - 29' S. W. of Manhole In cansideration of the issuance to me of a permit to construct the building described above I agr�e to do the proposed work in accordance with the description above set �orth and in compliance wlth provisions oP ordinances of the dty of Fridley. %� �� �� a_�" In consfderation of the payment of a fee of $ 45 .00 .� ��t � hereby gi�anted to Homedale B�ders . to construct the building or addition as described above. This �rmit ia granted uPon the express condition that the person to whom it is granted and liia agents� emPloyees and workmen, 3n all work daae i�►, around aad u�n said buildiug, or aay part thereof, ahall conform in all respects to the ordinauc� oE Fridley� Minaesota location, construction, alteration, maintenance� r+epair and mev3ng oE buildinga within the dty ]imits� permit may be revoked at er�y time upon violation oP aay of the Provisiona of seid ordinaac.ea. � _ B �.�..�_1' Buildin8 InsPector Clarence Belisle NOTICEs 76b psrroN d�s not eovsr �hs eonsnueN�, hatalWioa toe wiring, ph�m6tee, �a hsMiae, saine ee wnsr. B� sun to ss� tlro Buildieg I�or for ssparm parmhs for fhas tf�. a.� �� Lrbtd Rlarrnrn� Gr�xf S�►re+f�n� So►ls &si�ry C"�+erl F. M+miic�pro! ���� �b'i5 -k� fes uE. ' M„v�eufavinl?, �NG1i�EERING►� INC. ��°'° j!!�f 4 64� -- En9ineer�s � Sur veclors --- c��t�scate �� �s��rr�e �o: � �'Y�'i � D�V"�,�,�P'�1�.11i' � � � � .� NOR'i'H / , . , � _ /�"i'� , . . �, � � . / i� . . e ... a . . , • - a..•i . •. ;� ;I �;, .� �v ���� 0 � �Q�� ��� � �p ,� l� e 0 � CEN07ES IRON �hENCT ES ORAt1+tAGE � AWp U? 1LIT Y EASEMEt�1T LOT ��• BLOCK Z� IVIELOCY MANOR 3RD A001TtON A�KA C N�'�f /�y ctrfr�y flrot Nus n o lrt�e �d mv�'tc� r�senf�ian a�'a sa`ratf �fl�.► 6au9►rdari�s !/r a�berer ai�vrb►d lar�d, �d o�('lY,C /uot�vn a�ial/ bra�l�vl�s , l�ut�n ,�cid/ nsiddt �w�orli�n�-tts , r�'aa�/. %►em ar a� �aid !m'fd. AS s�'rL't�d 6� rn�' /ftrs �- dN� �'_ e'�_______ a.v.�. SUBU�BAN fN�lNEERING. l�iC. F.�rretrs fi� Sw`�`e�'sr} Scale :1r s �Q,�� �� � '� �-�___-�,��. .�� .� . � �, _, ��-�� -- - = - ---- ----- -- -- - - _ �_ � _- - s - _ �, 1 �----- �. �: - - - � =..____, "_,� _ ,=r;�- ¢,� _— i APFLICAT:tON FOR BU7LDT_N(; PERMZT CITY �0� E'B1D���'; MIF�N�SOTA. � � � „OWNEB' S Nl�1+� J;;, _ ,,;rBt1iLDEA � �1' A4DDA�SS. �-��—,� y ._..�:.:_. --� r �1DARES$���.:4�� �.4��' �� . . .. . :. �.:�r ,. ..�.... ,. . � .. ,_. . LOGATTON•: tl�. BtJILDII�jG _ • . , • � '� ., • � { N0._s�� S�ET,�., .��._.�_._���'�f�l- �-��-- .. BLOCK_ � ADDTT�d%T; ,b�:. SUBD�?4TiSIdN ,�,��,� �.� L.OT��,.� — -. ..���.,._.�.� . .. ,: . . . _. . . . 1�: 1 r _ : � coxr�.R` _ sin� �r.ar r�`s��A�x�:�,si��� . 1� �.._. 5E[�R ELEVATION TOP OF FOOTiNG ,. �Ap�J.iaant .a��ach tp� thia �qxm.,Two Ce��4,ficat�s uf: Snrvep of•jLot and proposed bui�ding 1QCatioa .drawa,;on.,f�ese;,Certifi�Gatea�,� Y, ._ _. , _ . . �, f t � . �_ ., ;, ;DESC�,�TION OF B'�JILDII�G � .. , . � . . � � . . ��_ t. , , .•:: . .. �r . � • . To Be Uaed Ast . �� ' � � 0 ..���' ,;G,r Frpnt �: � _ Depth_. ii4ight _� _. � ��r,-;�; . � . .. �� � � _ � ��-.e�0' 5auare €eeC � .Cubic•,Feet Square feet�g�'' . Cubic FeeC �'"�v" ���J t�d Type of Conetructioa�, 7i ;�'�� ��i�, Estimated � Cost,�!��,�� To Be Campleted �" The undersigned hereby makea applicatioa for a permit for the work herein specifiecl, agreeing to do all work in stricC accordance with the City of Fridley Ordiaaaces and rulittgs of the Depar�ene of Buildings, and hereby declares thae all the facts and represeatations stated in tvia application are true and correct. DATE °� �l� ,_SIGNATIIRE �.�°��,� '�� _� _ ..�._�. (Schedule of Fee Costs cen be fouad an the 8everse Side). � ,e..e� ` /��� °O ' � �ll s. S, F_ P,�-� . �a - !r, � ,� �-� =�� � -6 - 'y � BUILDING PERMIT FEE SCHEDULE SECTION 2. Th�-'Inepector of Buildings shall, be�ore issuing permits' for the erection of :�ay building or structure�,. �or•.,€pr :any addiCion to an� existing er�"u�ttire o� bui�ding; 't�f fAr any alteration ojr. repairs to a�ip exiseing building or structure, upan applicatin�,,�th�.refose, r�quire the the paymeat by the appl3ca�s� for sueh"pe'rmit of L�es to the $mount herein bel�,w set forth and ie the manner herin provided to-w�tt: ��...,'�"•.�•: . � . . . _ . � - . -IIri��uildi'n� Code; a~ Type 1, 2, 6 4-,.$1.75 for each one •Chousand cub3c feet, er fxactip� t��eof, . in su�h cubical. �contente�. Tqpe 3 6 5- $1.50 for _eaeh aae Cheusaad cubic feet. � � -,. �. .. . .. F.�r the parpose �ef 'computiag #ees fo= building�.per.mite, th�e, cubica]. ernatenCS ef anq by�;lding��or- ac�ditivn �e� �a �u�iform he3ght througho�t by multiplying the grouad area cavered fr�.a �oint.eis (6)..�ric•hes �elow the floo- line af the basement oz.the cellar te the av+erage height of the upper surface or to Che avera.�e heitght of the roof surface of the main gabYe of a pitched roof . . •� • . � ", . . • � ° - Fer repaire Qr a,l;te�ratfons to an ex�.s'tiin� ��tiu�tuxe�,�. the s�f�e'`"shat� `be at the �xate of'$3.06 per each five hundred dollars ($500.40) or fraction thereof ia ehe cost of all Propcsed work. . . • .. . . .. �a Is �o case ahal�. 'th�e fee,.ctiarged for`anq perm�tt .as. sat._��orch� �ia �Section 2 be leas than $S.AO. ' NSSSD C�nnection Charges based oa lecgtiron- Area'1 or 2. , _ _ . -- ..�-. .� .. .. . . . . . . . . . r . i a . . • • ' , � . . . . ` - , , ' . .. . :3.=-• " '' . 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O � t0 �� � �� 9 � 0.� A � S. �, �� 0 D � � � � D � � r � _ � � � � R � p � � O � �° : � � o . � . � � �,. � � � ri aj Q � � p @ � m � '� x � � � w n � � M � � � � n �� � � � � � . � � � � � a � �' °' � � � � �a � M � � O � � � � � er b °� O � S . � a Q � � � �y � � � �� � Q a � °a . . on ' : � : : � � � � o� � � � � � ��.o 00 IC Id M �0 C! k iC id k � � � � � � � � � � � $ � 8 �8 � 8 � $ $ 8 � tf► M sn da fA tl► M tfl �0 � I 0 �� � � � I r � � � � a �� ^, �.. � � -> 0 Q � �� C � 5 1� � I � A � 0 C � I � � 0 I � � bd �' � � � 0 I D � i � � m � n T v � m �. o rs w � ca ... � � � � p' Q' `� � S$02'�@8 � �� w�Tta � e a�Ts � � i uaiwus MTM i � � � � ansiNc 47 ; SINKS � � w�+ T11AK ORINK. FouMr. I sMMr�t. ,�„ RLOOR DIUtNS UTCH �i� 6ASIN5 �uro WASX� GAS I APPL � b I I ' �" � � �o � i �' o � c � � � w � � ro ti a � � o � �' �, � a � �. � S � � � � � �� � wwc,� GAS OPENINOS .. _ • Gf � � � �� � �. a � a �.� � " � � � �� � o A �' ����' � o� � � �� �� � �»� � � � b � �� ���� p � p� a � � � � � ry � � � w � �a �l a �.��� �`��� �.��� � �7 M � � � A � 3 '� =. � � t7 � �� Q� � P �S M � � s�,� _ � �� '�y � �i � � � �, � �- � � o � �. 1 � � � �� � �� HOUSE HEATING TEST RECORD ADDRESS ���J' �" ��c'-��� APT. F OR CI S RB � OCCUE�►NT OWNER � � � � HF/►�T LOSS DATE HTG. INST. GAS C0. METER BADG ° SOLD BY INSTALLED BY Eleetrical Work By Gaa Lins By TYPE OF HEAT GA FA �W STEAM SPACE HTR. UNIT HTR. OTHER J�!� j`� Gl�DES�I % � � CONYERSION MAKE ��� L1� �� � MAKE OF BURNER Model __��,�� �f'"f/�.� �� Model Serial -5 -����'�-� � Max. BTU Rating INPUT ,�� ��� MAKE OF FURNACE Model CQNTROLS � THERMOSTAT ��/L41eat Plug Vsnt Size Valve ��� KIND OF LINER IZ �� NONE Limit ��— �� f�� ���_ Draft Hood Regulamr Limtt Ssriing �� Filters Size Number Fan Setting —���i /-? —l�� Chimney Location Inslde � Outaide Pilot Ty� (�(mney Construdion Pilot Make � � Pilot Model / � Smoke Bomb Wiring Pilot Timing ��� Draft /% /� Test Tag �� L.W. Cut Off f, � `�� � or Pressure— Lighting Inst. �� Prossure �� Pe eent 0 � Date Tsatsd ^- � Input CFH �/"�,� P�E�i�' ''�/�ompany Testing Staek Temp. -� Peresnt CO , � d� Name of Teater - Form 235 � ^ z y �' r ro y � ° � Li fD O � o z � � � � ,� � b �o M �o � � . n�' � � x � � � 7 � � � rr rt r► E rr � � N y q�' � M � a w �o ,,, a v, �' � o ro "� � � � o � � �' � � � z � o ,4„ m�a X ry, n� o �o �° rt roh� M � 0 9 d I-, C�r GZ'� a W rr °o m � � rxr�e �-Mi 0 o y r� N � n � M� 1 O m m "'3 � r m C °o � o � � a w � � � �° � ►�s p o° � � tr� N� m w � � K CZl1 � K F-� � O � w trf —1 c�i � � o° ° `° cn '_" O. `� yW � r � R � �--i m N C"f 2 � m I ( ( ty I I I I I I I( I` � rn N N . N V1 O O O P � � �� � in � ° � � � yi z � N � z � � � N I v i 1 N � 4 � [ � N �� �� p `I \ y `� � ttl � x x x �e x x x a k� x x N i/! t-7 N tp i/1 t/! N F' fA f/f tA Vi N � O h' W ln l!� �1 O ln tJ� N N W 0 0 0 0 0 0 0 0 0 0 o r� H O O O O O O O Q O O O O �J in tA N ill 1!! N iA iA �N tA fA N H O 9 r � H 0 ?0 � H � H � � ro � � � ro � H tn �! N � � o �' � . � . � � � �1 . W N N Storiea . y � �x a a � o n d � z � Closete M� Urinals X � � a IIath Tubs � � Basins 0 a o Sinks � � Wash Trays � N. Drinking `Q ,q Fountains Showers � Floor Drai O � Catch m Basins � A Automatic Q' Washer � � e Gas Appl. � Misc.' Fixt � y Gas Range a �e rt s �° K Other w m w a rr m �S � n O t�f H C � � � g 1 $ t�7 � �� n � � � o �3 "r C y rM � ~ � � � � � o � � y � H N 0 1� � � II � d ro ��I � H �' o A, I � 0 � o W m r c~r � b' �� �� � M �'S W (D 'J� o t�-+ w G t�i+ ro a 3 �a�aw r�� � � `°.°ic m aao � �' °' r°n � w o m `1' !� n�wa' �� ^ O f�D O r�'t � `v p H(� O "< � C^ � � Ff''-� �' -� �� e .� woo I� a �mxro � � w w � w � I+a N W � W 1i (1 � 'J' Vl n � � Nµ � � M � b W Q � � � � w � � � � � a f1 � v. �C N � � � �l p- a o � o � � Pp��, p� p' k ri 1 M N t�D � t� � G � 7 rt � X G t� n 8 N°a. n � � v� n c�n � $ � a v 'v r � D � O � T 0 � � E � 3 -~-1 G7 -< � o D T z r� � c� •-� � d �n r- m "l"I -�G N � � -v m � srAiE aF MINNESOTA DEPARTI'�NT OF HEJILTH ���. —"lJ� � ABANDONED IiEU. RECORD i. ��rice OF w[�� �� , � / MINNESOTA UNIQUE MELL N0. tounty Name ���--1v (ieeve blank if not knmm) TamaMp Naam mmsMp 1lumba� Rgng6 Mumber Sectlon Na. Fraetion 4. MELL DEPTH (eompleted) Oaie sesled N E k 4 of � Fridley 301� Sr 24W �� 11 SW SW N 19ft� 5-21-91 Numerical 5treet Ad�ress and Ctty of Yell Loeallon or Dlatance trom Road 5. ORILLIPI6 METHOD (1f known) / Intersection., 1C7 caele toot 40 Rerene )[] oriren lq] uug ( � � 7408 �bncerto Curve, Fridley, Mn 55432 � H0��0Y R0d �7"�� �7 eo�a 1 NA ��y-eaact 1 ation of wel l ���rY b� Jettad 90 Pmro� Auge� � (t, ion yrid rith •X•) � Slcatch map of relt loution g. QgSTRUCTIONS N /�J Yeil obatrueted 0 7ea �] 80 - t__ ._._� /p c��� � ��� Obstruetlons removed � ras [] Mo If abstructlons cnnnot be � � � � � r�oved, contact !�H W _' ' � � � yu u s C betorc sasllny. � - _ ° ' : ' I _ ; _ rE �� 7. USE - , • � • � - - � y .a, / — - 1[� �mastie 4� MonitoMng � Heat Loop ..� .._... _.,.. .... _ I C C� N['� P� fiU �Ir�igatlon 5� Public 90 indust�y � � S� 1 30 Test Mall bj] Nunicipal 1� Co�ercial �-- 1 .it. —� 7[JA1� Coaditloning 11[] 2. PR�PERTT OWNER'S H0.RE Natling Addnss tf dlffemnt than 8. CASIN6(S) property addreas indlcaLed a�vs 10 Black 40 Threeded 7C1 �Galr. 5� Wided Mark Sticak Same �j]Plasttc 6psc����e,: se�ei Haaoxess ov 1� tn, co 19 rt. 3. FORMATtON l�G COLOR FORMATIOl1 FROM TO If not knawn. indlcate farmatlon log from ner re11 0� nearAy wall. tn. to ft. NA 9. scrt�en p s��ea �i t r� _ rt. u rc. — (tf �o.m� ❑ Open Hola fron _ ft. to ft. 1VA 10. STATIC MATER LEYE� 1 7 ft. � belor ❑ aeora 5/21/9 tand surfaee Date Heesurod il. YELLHEAD CONPLETION 1� Pitless Adapta� � Found BuMed 208asemenL offset � 1' above arade 30 Wall P1t 16. REMARKS. ELEVATI011, SOURCE OF OATA - CASINGS REMOVED. CASINGS PERFORATED. ETC. 12. GR IMG INFORNATI08 I[�Neat Ceaent 2[] 8entoMte � Sand point Grout material #1 rrom�w1g rt. ��. yds Possibly driven for grass irrigation -- 13. NFJ�R�ST SOURCES OF CONTAMINATION �.Ufeet S hcrettioe�•G• �,.p7Ilq type Yell disinfeeted befo►e sea11ng1 []�ea 14. PUMP � Removed �Nat Present • Type: 1[1 Su�anlble 3� L,S. Turbine 5� Reciprocating 20 Jet � 4� Centrlfugal 6� • 15. EXISTIH6 YE�IS (Ptasa� skateh loeatlom oP abandoned a�d activa we11a in r�aa�ka sectlon or on back.) Other unusad wil(s) on property7 � 1'ea �] 80 Abandoned: [] Permanent � T�nporary � pot sealed 17. WATER IIELL COMTRACTORS CERTtFICATIOA This well aas sesled under my Jurlsdietion and this report is true to the 6est of my knowisdge and betief. Lleensee BusJnass Name Ltcense tlo. , rott Drillin Services� Inc 02303 � Address 681. Birch t Lino Lakes, Mn 550 4 Stgned - - o-c � Dete � a•! /� �l'� Brad Bar�tt pau 5-21-91 FFiCIAL ABpNppMED YELI RECORD (May be usad fo� Property Transfer) Nams of Dr111�� II�PCYZTA6?t PILB ptlTg pggp 4 O � � � O z D � � x 1'�" r m m -v 0 v m v v m � c � n � n � O Z � 0 A A a z v D W m rn I � � � � � N m co � O Z � _ � O � � m .. � � � � � c � s w I� m � in 0 J � � r � � O .� � � O w � � m D � o, Z m ,�v� C � N � m o o -o � D � v � v � �i Z m v � � � 0 z N i- � D '� '� < a '� �� o Z c � '° o ? � U � �d � 0 c� � � O w �, $� � � v w. �; c� � I I� v f � � Z v � --� � N N� ei ei C N, N,� o(D °—n (D �� o w m m m� ��, O ��o �gt O � 7 � � -�. � �, w � u► N :i � s m Q.' � � � � y �° �• � 0 4 i���� r' ��� tC a . �n � t I � � � � � � m D � a � m � � m � w � i � N a - 7 �l � * n � � � � c f° m m a .-. m N v I � I I �I I I I I I I I I � ������������ (11 O O O V p V V V V UT A V 0 0 0 0 0 0 0 o g o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 I-' N C = � � � a n O O � � -o D � 'D m � 3 --1 z 0 � � � r \ � ��g � �- �y �� � T � a s m c N m a � � � a -. m � m N m � � � � � � � m � � s � N y w � r 'd � n � � � � � `° m � a n � m � ..► � � � N n � � c m ' a � 01 t�'n co m � m � a � s o � a � o .� w 3 w o m � y � v A � cwi � 0 0 a �, � � �� 0 � 1 � � o � o x' m m y � � -� C � � Z � � � �1 m � m � z O � m O � L � m v v � � A � r� a w � rn `.�� � O .�p � �� �1 � y � � � � N � � Z z m � n O Z v < � � u ro O � � w � c � m � � � rt m � C � S D �° r � � m m � � � � 0 � 0 z m z � Z 'rl � Z W D n � � v m � � m �' � �a �2c�i N � 7 _�� o�zm v � O � c � o � o O � � DD v � '° ln �D � � -� m � O z � ��� v°1, rn m m c n�i, n�i W�� m � �v� n� o� m� ��ov� T � 2 2 -i 70 W � � fp �p N N � N �: N �' -yp �. C � N ..d. .�-► � �p � 7 � fD � � � �� � � � � �.�� � � c�ma� Q � � � � N � "C --� N � � N � � � 1 � � ,� �. � 7 � A n � C � fD fp m a .-. � m N � Z 0 I I I( I�I I I I I I I � ������������ U7 O O O�I O V �I �I �I Cn A�I °o °o °o °o °o °o °o °o °o °o °o °o °o �o � � N W � � = o Z � 3 °' � m p o� � �° � a � Z a C m W � If� S� N ,Ul � 0 � � ? � v � m , � ,i m � r � Z v ° � � � � � � � \ � � � , -o m � � -� Z O � � � r� r,� �- � W � .l N � � r c � W Z ci � � C � m � m � z O � m O D r � O W l �-����� d 0 0 0 0 � �, A W N -� � (�A � C �� m `�<:::>:<::<: � � � � z � C � � W m >:::: � :::::= O :::::: T :.;:.: ,�,i � � C < 3m � :�i::::t�` o �<: �:��:::�::: ao �_;;:�:s m :;;`•: Z :>:�>: :::�>:: (n .v...•-n y j• O r m v �za:;> ��:��•: z �:>�:�: �' >:<::::: � :..;;.: _ .� ::c � � •° o m � � m N � � N _ mm . � n (rtD � w a w � =� O N � ? -n pwj Z N � ���� �� wDr N C � N Z Z m� � m � O Z � m m �« m 0 � � � � � N O O �.s COMMON VENT. VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacin� an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No () The venting system is plastic/PVC and meets all cuRent codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No () The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. The existing combustion air is sized and installed to meet the cuRent codes and manufacturers specifications. When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacture�'s specifications. Yes ( ) No ( ) Yes( ) No( ) Yes( ) No( ) When installins� a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specfications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Yes () No () Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes () No () Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input ` Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date : CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 PERNIIT NO.: 2004-01729 ��� DATE ISSi7ED: 10/OS/2004 (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 7408 CONCERTO CRV NE PIN : 113024130075 LEGAL DESC : MELODY MANOR 3RD ADD : LOT 15 BLOCK 2 PERNIIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION . NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSLTE DATE. INSTALL A SAVERS SWITCH. # INSPECTIONS 1 APPLICANT ELEC PERNIIT FEE - NII1�T (RESn 20.00 HUNT ELECTRIC CORPORATION STATE SURCHARGE, ELEC FLAT 0.50 2300 TERRITORIAL RD TOTAL 20.50 ST PAUL, MN 55114- PAID WITH CHECK # 118132 OWNER REDMOND JOHN D& NANCY J 7408 CONCERTO CRV NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and oidinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisio of any er state or local law regulating constru 'on or the erfo ce of construction. Applicant Date Bldg Ins Dat�°` l SEPARATE PERNIITS RE D FOR WORK OTHER THAN DESCRIBED ABOVE.