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From: 612 822 5408 Page: 2/4 Date: 10/6/2011 10:39:45 AM
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p��M�Z�G Pern�it No.-`�
RESZD�NTY.A.I. A�'Z'I.�ICATZON Received By:
. CYTY OT FRIA�,EY ��� ;
�uilding '
! � Ynspect�ons
ri
� , 763-572-3dU4
' � 763-502-4�77 FAX
' 17AT'E ��
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� T�TTS APPLICANT iS:
, �►ROPERi".4'' �,
owxr,�r
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C] 04VNER iV�CONTitAGTOR
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'YOUR S'x'A'i'E 5T,4 rE uC�t3E � ,�� _�""► �1�' DATE
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II�TSLTRANCB P�;TO�tE � j�r' �� � Z p� ,�
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�'�RMIT �"YPE � C�INC}�.fi FAM1i.Y
7t"�PE O� wv�C: � a rr�w
DETAIi�ED D�SCRT�TION OF �ORCS.
Q 7'vV0 FA�2II,Y O TQWNFipUSE
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�EES ARE BASED ON SI O.UQ PEIt FL�"�'{TRE, E3CCEPT WiIERE NClTED. FIXIi7AE5: (IIdDICA1'� Tf)TAi. NtJlviHER OF EACFT 8EiA1�. MIlVIMLIM !EE
53530.
_ BA7ii SINT:/LAV _FLUOR DgAII�iS SHOWEB WA'�'£R PIi"INt3
—��� _ GAS PiPIht�i {I�b Cl7X LIG� � SWII�NttNG Pf}OL "- wATEIt 9()I'13�1FR f535j
_��� �+�� _ KITCHF.I+T 5II�}K WA'I'L.R GLAS�,T � BACl�LOW PREV. (Si 3j
_i.AUNARY TRAY �WA7Ekl3EATER (,S3S) FC1R IltI�I!LiA1'.EC�V
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_„_ WATER ht�"'TEIL _ p17iER
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'IHIS IS AN qR�LICATlOiV FOR A P�RM[T-NOT VpY,YD UNT[[, PROCESSEI�
T hercby apply for a plumbing permit a�,d I a owzed that the j�lfOrmaho�, al�pve i5 complete aQd ACCUr&tC; that the work wi!] bc ia
eonformance wjth the ordi�anccs and codes of th C� FFridtey a�td with t]�e Muincsota Cons�'uction Codes; that I understand this is
not a permit but only a�� a�plication �or a permit ork is n.pt to start withoul $ permit o�. s�te; that lhc work will be ir+ arr.,���
with thc spp�oved plan iq the c whi c revi,ew ttnd a�-o f lans_
SICrNATURY; OF ,qpPLI ANT -- IIV'j' NAME`_k�� ""n.e.rT ATE ���,�j ���
APPROVAT, tNSP�CTO SiGN !t�
City of �'ridIey
Buiidx�g Ynspectians Department
6431 TJxuversity A,venue NE, �ridley, MN 55432
763�572-36U4
�'A;X: 763-502-4977