AF - 43268SUBJECi . �� °PE�R O.
c�ty of Fridley � g 2 g g
AT THE TOP OF 7HE TWINS g � I L D I N G P E R M I T
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� • COMMUNITY DEVE�OPMENT DIV. � (� ^ , % �
r j� � PROTECTIVE INSPECTION SEC. X«�f � ��
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'l -- � i/'��;.� CITY HALL FRIDIEY 55432 NUMBER REV. DATE PAGE OF APPiiOVED BV
l� J\ 612-571-3450 910-F15 11 /21 /85 � �
JOB ADDRESS 1340 Creek Park Lane
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 2 2 Hidden WOOC�S SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHOWE
Garjac Inc. 481 - 206th Avenue N.E., Cedar, MN 55011 434-7096
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
4 ARCHITECT OR pESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
R-1
7 CLASS OF WORK
�J NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
ew H u e- 38' x 28' livin area
2' x 22' ara e
9 CHANGEOFUSEFROM TO
STIPULATIONS provide a hard surface driveway. Provide sod in the front and side
yards. Provide the City with a copy of the verifying survey before capping.
Paid Park Fee of $1,500.00.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIFi CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 OAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 OAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DW�G. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE FEAO ANO EXAMINED THIS APPLICATION STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMP�IED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 31 HO
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEfiM1T F E SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STR TION OR THE PE�FORMANCE OF CONSTRUCTION. 3Z�J .00 $425 .00
PLAN CHECK FEE T07AL FEE $$(3. O5} PF
• 81 25
IGNATURE CON'RACTOR RAUTHOi71ZEDAGENT IDATEI WHEN PROPER�Y VALIDATED THIS IS YOUR PERM T
' �z1�S
S�iGNATURE OF OWNERIIF OWNER BUILDEAI IDATEI BLDG �N$P nATE
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6431 University Ave. N.E.
fridley, Minr�ta 56432
RECEIPT
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Tel. 571-3450
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RECEIVED OF a� �3'�
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ADDRESS
�- �- - -` � � $dQ $ �L--
FOR ��
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O • t"� •
FUND CODE ' AMOUNT
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$o�' � t �s
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�� T SIDNEY C. INMAI�
Treawror
By �'' �' -..�
«- a � ,9� N
�un�ucn� rewt prs�rsss �
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s7��. �� a►
NEW [ ] '��� City of Fridley
ADDN. [] � R-1 AND R-2 �
AI,TER. [ ] Building Permit Ap�lic�tion
�ou� ��
iive 4/1/84
Construction Address: ���� �� ,�� ���
Legal Description• �dT �+ �L4�lCe � ��� f�Qi�JJ �0��
Owner Name & Ad�lress : Tel . #
Contracior:
Address:
LIVING AREA:
GARAGE AREA:
DECR AREA:
OTHER:
el. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTIOK OF IMPROPEMENT
Length � Width Z'� Height �.1� Sq. Ft. ��i
Length �iZ- Width 2� Height Sq. Ft,� �a
Length Width Hgt/Ground Sq. F�
Corner Lot [] Inside Lot [] Ft. Yd. Setback
Type of Construction: � 1 ` '`
Approx. Completion Date:
Side Yard Setback
Estimated Cost: $ ��
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: '`��� ��"` $ $
See Baek Page for Explanation
DATE:
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sexer^ � in��Ch'arge
F/ .
�OTAL
STIPULATIONS:
_
APPLiCANT:
CITY IISE ONLY
Tel. �
$ �•�Q Fee Schedule on Reverse Side
$ � i.Zci 25� of Building Permit Fee
$ �� 3�•�d $.50/$1,000 Valuation
$ �,�1�Q�i $425 per SAC Unit
$ i.� V• � Fee Determined by Engineering
� � •�d Agreement Necessary [ ] Not Necessary [ ]
�
a�6�. �
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BIIILDING PERMIT FEE SCHFDULE
The Chief Building Official shall, before issuing permits for the erection of ar.y
building or strueture,�or for any addition to any existing building or structure, or
for any alteration or repair to any existing building or strueture, upon application
therefore, require the payment by the applicant for sueh permit of fees to the amount
herein beloN set forth•and in the manner herein provided to-wit:
Total Valuation
��.oa to �500.00
�501.00 to $2,000.00
$2,001.00 to $25,000.00
$25,001.00 to $50,000.00
$50,00�.0o to $�oo,000.00
$100,001.00 and up
Fees
$10.00 (Minimum Fee is $15.00)
$i0,00 for the first $500 plus $1.50 for each
additional �'iQ0 or fraction thereof, to and including
a2,000.
$32•50 for the first $2,000 plus $6.00 for each
additional $1,000 or fraction thereof, to and
ineluding $25,000.
$170.50 for the first
additional $1,000 or
including $50,000.
$283•00 for the first
additional $1 , 000 or
ineluding $100,000.
$25,000 plus $�4.50 for each
fraction thereof, to and
$50,000 plus $3.00 for each
fraction thereof, to and
$433•00 for the first $100,000 plus $2,50 for each
additional $1,000 or fraction thereof.
DRIVEWAY DEPRESSION ESCROi1
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus
6 feet times $13•50
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach With 6 inch depth - Driveway width plus 6 feet times $15.75
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of
application to allow for proper review of the proposed structure and of the
construction site.
A Certificate of Survey of the lot, showing the location of the foundation onee it
has been constructed will be required before proceeding with the framing.
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C� I I Vf
FRIDLEY
CIVIC CENTER • 6-131 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55�32 • PHONE (612) 571-3450
,
March 4, 1986 -
Mr. Gazy D'Aigle
Garjac, Inc.
481 - 206th Avenue N.E.
Cedar, t�1 55011
Re: Final Inspection at 1340 Creek Park Lane N.E., Fridley, NAi
Dear Mr. D'Aigle:
A final inspection was made on February 28, 1986 of the above address and
the follvwing itesns were noted which must be completed before the structure
can be finaled out:
1. Change the double cylinder lock on the front door to a single cylinder.
2. Secure the sump cover. .
3. Provide sod in the front and side yards.
4. Provi@e a hard surface driveway.
5. Provide the City with a copy of the verifying survey.
We will expect items #1, 2, and 5 to be completed by March 21, 1986 and
items #3 and 4 to be completed by June 2, 1986 when reinspections will be
conducted to determine compiiance.
If you have any ques tions on these items, please feel free to contact me
nt 571-3450.
Sincerely,
G. CLARK
Chief Building Official
DGC/mh
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:�
GTYOF
FR[DLE.Y
CIVIC CF,NTER • 6431 UNIVERSITY AVE. N.�. FRIDLEY, MINNESOTA 55432 • PHONE (6l2) 571-3450
June 4, 1986
Mr. Gary D'Aigle
Garjac, Tnc.
481 - 206th Avenue N.E.
Cedar, NII�t 55011
Re': Final Reinspections at 1321, 1340 and 1360 Creek Park Lane N.E., Fridley
Dear Mr. D' Aigle :
Final reinspections were made on June 2, 1986 of the above addresses and the
following items were noted which are still incomplete:
1321 Creek Park Lane N.E.
1. Prwide and secure sump basket cover.
2. Provide sod in the front and side yards.
3. Provide a hard surface driveway.
1340 Creek Park Lane N.E.
1. Secure sump basket cover.
2. Provide sod in the front and side yards.
3. Provide a hard surface driveway.
4. Provide City with copy o� verifying survey.
1360 Creek Park Lane N.E.
Provide sod in the front and side yards.
We will expect the above items to be completed by June 16, 1986 when
reinspections will again be conducted t�o detennine cosnpliance. If you have
any ques tions on these items, please feel free to contact me at 571-3450.
Sincerely,
DA G. CLARK
Chief Building Official
DGC/mh
NEW [ ]
ADDN. [ ]
pLTER. [ ]
Construetion Addre
Legal Description:
City of Fridley Effective �/1/84
� R-1 ADTD R-2 j /,,��T-F ��7�1
Building Permit Application
Owner Name & Address:
Contraetor•
Address•
LIVING AREA:
GARAGE AREA:
DECB AREA:
OTHER:
Tel. #
Tel. �
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTIOK OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
Corner Lot [] Inside Lot [) Ft. Yd. Setback Side Yard Setback
Type of Construction:
Approx. Completion Date:
Estimated Cost: $
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $� 9%UCJ $ �
See Back Page for Explanation
� ,
DATE: APPLICANT: Tel. �_
CITY QSE ONLY .
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
�
�
$
$
$
$
�
Fee Schedule on Reverse Side
25� of Building Permit Fee
$.50/$1,000 Yaluation
$425 per SAC Unit
Fee Determined by Engineering
Agreement Necessary ( ] Not Necessary [ ]
� ' - � - SuB�ECT .. -
City of Fridley
AT TNE TOP OF THE TWINS g � f L D I N G P E R M I T
r
� �
� �
COMMUNITY DEVELOPM�NT DIV.
� ; V'�'��� . . . .
f � � PROTECTIVE INSPECTION SEC.
� .
i.--_����"' �,� CITY NALL FRIOLE� SS132 NU�aBEA pE�
t 612-571-3450 9t0-Ft5
JOB AODRESS 1340 Creek Park Lane NE
t IEGAL ��T NO. BLOCK TRACT OR ADDITION
OESCR. 2 2 Hidden Woods
2 Pf;OPERTY OWNER MAI� ADORES$
Robert Overman 1340 Creek Park Lane NE
3 CONTRACTOR MAILADORESS
Walker Roofing Co 2701 36 Ave S, Minneapol�
d ARCHITECT OR DESIGNER MAI� AODRESS
5 ENGINEER MAII ADDRESS
6 USE OF BUIIDING
Residential
� c�ass oF woaK
O NEW
8 DESCRIBE WORK
Reroof House & Gar
9 CHANGE OF USE FROM
OATE VAGE O:
4/14/99 / /
29212
ac� /
4PiROVED BY
SEE ATTACHED
SMEET
ZIP PMONE
571-8100
ZIP PHONE IICENSE NO
MN 55406 729-2325 4229
ZIP PMONE LICENSE NO.
O ADDITION O ALTERATION Xf] REPAIR
24 Sq) Tear-off
PHONE IICENSE NO
O MOVE O REMOVE
STIPULATIONS
Underlayment must comply with the State Building Code.
CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to
9:00 pm on Saturday; No work on Sunday.
Perm�t InspQCtion Cards
T ���� �� �latled
o Nome�wner To Rost
_JFCONST. OCCUPANCVGROUP OCCUPANCV�OAO
SEPARATE PERMITS ARE REOUIREO FOR ELECTHICAL, P�UMBING. MEATING,
VENTI�ATING OR AIR CONDITIONtNG
TMtS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 2ONING
AUTHORI2ED IS NOT COMMENCED V�ITHIN fi0 DAYS. OR IF CONSTRUCTION
OF WORK IS SUSPENDED OR ABANDONEO FOR A PEiiIOD OF 120 DAYS A7
ANY 71ME AfTEF WORK IS COMMENCED. NO DWLG. UNI7S
1
I HEREBY CERTIFV THAT I HAVE REAO ANO EXAMIN�D THIS APPLICATION
AND KNOW TME SAME TO 8E TRUE ANO CORi;ECT. ALL PfiOVISIONS OF LAWS VALUATION
ANO ORDINANCES GOVERNING THIS TVPE OF WORK WI�� �E COMPUED
WITH WMETMER SPECIFIEO MEREIN OFi NOT. THE GRANTING Of A PERMIT $2,056
DOES NOT PqESUME TO GIVE AUTHORITV TO VIOLATE OF CANCEL THE pEqMITfEE
PROVISIONS Of ANY OTHER STATE OR �OCAL LAW REGULATING CON• $74.75
SiRUCTION OR TME PERfORMANCE OF CONSTFUCTION
PLAN CHECK FEE
License/�
S�GNATUFiE OF CON'PA(;T0�7 OR 4UTMOQ�ZE0IGENT
iDATEi
ATUAE O� OWNEp��� OWaEA BW�DER� iD�iE�
FT
STA��S
$5.
E7 PARKING
IGAFAGES
$1,03
SAC CHARGE
Fire C $2.06
TOiA EE
$82.84'
)AT �HIS IS V P M
' /_' _�`',�-
NEW
ADDN
ALTER
[]
[l
[�
ConstructionAddress: �
Legal Description:
Owner Name & Address:
Contractor: ���
Address: �� l : il't
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
��
Effective 1 / 1 /99
�� �
� Q�� o�
� �
2Y1'1�1C�X�- Tel. # 5�1� �1LY�
' MN LICENSE # C�����
Tel. # �-o`z 3�S
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
Length
Length
Length
�ESC�t�'!'��l'� ��' �1�ROVLP�I�T'�
Width
Width
Width
Height
Height
Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
�� �-_.� �,z�� a�.���. ��.��. �
Construction Type: d�C_ � �G- Estimated Cost: $'� �'�- o�
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: -�1 APPLICANT: Tel. #
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
$ � Fee Schedule on Reverse Side
$ 6�� .001 of Pez�a:it �aluat=o?? �t /� r�r�, q)
$ /� O �j $.50/$1,000 Valuation
$ $1050 per SAC Unit
$ ��Z� $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ]
/ ,
�. /
CI7Y OF FRIDLEY INSPEC710N DIV.
6431 University Ave NE
Fridtey, MN 55432
572-3604
APPLlCATlON FOR PLUMBING AND GAS FITTING PERMlT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
Effective On Jan 1, 2000
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
New Fixtures '
Old Opening, New Fixture :
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Wate� Leader
SumplReceiving Tank
Water T�eating Appliance
Water Heater -Electric
Water Heater - Gas** �_
Gas Range'"'
Gas Dryer"*
Back Ftow Preventer Required ()Yes () No
Type
$ 7.00
$ 4.00
$ 5.00
$ 7.00
$ 7.00
$ 7.00
$ 7.00
$10.00
$ 7.00
$10.00
$10.00
$10.00
$15.00
Reinspection Fee $47.00Mr _
ALL OTHERS AND/OR REPAlRS AND ALTERATIONS
1.5% of Value of Fixture orAppliance
State Surcharge
TOTAL FEE
JOB ADDRESS ��1� �"s du"��'E�
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the city codes
and rulings of the ,B,uilding Divisi�n, and hereby declares that all the facts
and repres�^+�+�^^� �+�+o,+ �., +h�� �.,.,r.,�+c�., ��o +� �e and correct.
OVERMAN,ROBERT
1340 CREEK PARK LANE
FRIDLEY, MN 55432 �� , 20oZ
(763) 571-8100
Owner _
Building Used As ��Si fl��i �j�,
o,a �
_ EstimatedCost L PERMITNO. ����--'�
PLUMB(NGCOMPANY OIZ��J� LU/✓I�fJI�� �
SIGNED BY TEL N0. Z" ' O
Approved By Rough-In Date Final Date '��.
$ .50
$ �-�
. � � : ._:
COMBUSTION AtR SHALL BE PROViDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT tNFO ON BACK SIDE
ADDRESS
PIN
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
s�z-36v4 r��:
: 1340 CREEK PARK LN NE
: 133024130055
LEGAL DESC : HIDDEN WOODS
: LOT 2 BLOCK 2
PERMIT TYPE : HEATING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDITION/ALTERATION
s�i-li��
_---'---�„""�� �
PERMIT N .: 2004-01213
.
DATE ISSUED: 07/30/2004
VALUATION .
NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM
ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A.
INSTALL RANGE WITH 1/2 INCH COPPER, ANTI-TIP BRACKET AND SHUT-OFF VALVE.
# A/C UNITS 0 VALUE OF APPL OR WORK 0
#FURNACES
# GAS RANGES
APPLICANT
CENTERPOINT ENERGY/MINNEGASCO
13562 CENTRAL AVE NE
ANOKA, MN 55304-
OWNER
AHMED JAWAD & AL BATTAT
1340 CREEK PARK LN NE
FRIDLEY, MN 55432
0 # GAS DRYERS
0 VALUE (FOR MINIMUM CALC)
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or constntction
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 conect. All
provisions of laws and ordinances governing this type of wor�
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or canc 1 the provisions of any other state or local law
re la ' con ction or the performance of construction.
Applicant Date ;1 �
: � : • �L�i�ti��:�.7 — � ,
HEATING PERMIT MINIMUM FEE
FURNACE SHELL/DUCT WORK
GAS RANGE FEE
GAS DRYER FEE
AIR CONDITIONING FEE
HEATING REPAIRS/ALTERATIONS
STATE SURCHARGE, MECH FLAT
TOTAL
PAID WITH CHECK # 1014465
0
196
15.00
0.00
0.00
0.00
0.00
0.00
0.50
15.50
�
�. CITY OF FRIDLEY BUILDING INSPECTION
6431 University Ave NE
Fridley, MN 55432
763-572-3604 FAX 763-571-1287
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner &
also Replacement Furnace
Gas Piping (New Furnace, Fireplace, Insert)
Gas Range
Gas Dryer
f ..
*�4ir Conditioning - All Sizes
All Other Repairs or Alterations (List on Back)
1% of Value of Appliance or Work
Minimum Fee $15.00 for Residential or 5% of cost of
Improvement whichever is greater
� c�. )� �
Effective 4/1/2004
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
JOBADDRESS /�-lC� C✓L t� �Q[/jC, l G...
Fee Total ,
Owner ���0 c //� �yl�� �f�7' / �(JC1���7
$35.00 $ Building Used As ��X��l>9 /� iu��
$10.00 $
$10.00 $
$10.00 $
$25.00 $
$
Commercial/Industrial/Institutional
1.25% of Value of Appliance or Work (List on Back)
Minimum Fee $35.00 for Commercial/Industrial/Institutional
State Surcharge
TOTAL FEE
REINSPECTION FEE $50.00/HOUR
$,
$ SU
$�
`*Air Conditioners can not be placed in side yard without written approval
from adjoining property owner - copy to City
ESTIMATED COST �9� ' � PERMIT NO �' . '�' " ( �l��J�
DESCRIPTION OF FURNACE AND BURNER
# of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Trade Name Size No.
BTU HP EDR
Fuel Total Connected Load
Burner Trade Name Size No.
BTU HP EDR
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes
and rulings of the Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
signed�z��� �.,'/J,�/�,���',� Tel # �/i�'7�%-fp�
FAX #_ Cd �" � �" Jl�'�� Date '�'Ot��}`"U7
�n 5i'� l�d Y�✓'� (,t/1 ��d � ����' � �1n�� -�'/� ,bY��GCd �✓�d
���f�V� �
FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
Approved by +' � Rough-in Date Final Date