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P - 45713� From: 612 822 5408 I ! � ,c( 1 �. _ � Buiadi.ng �; . �S��Ct1QI�5 � ��3-s�a-��a� ' 763-502-4.977 FAX � DATE S17E ADIIItESS �%� ' TH1S APPLICANTiS: � � Y'ItOPF,1tTY ��i: i ; OWN�li/ ^ � TENANT �n�' ' ' rxoNS: ' � CON�rRarrnR __. _ _ Page: 2/2 Date: 10/27l2011 10:54:38 AM � //7 b � F+���� �,,. �m!/���4 ` .,.�- . �'LUMSI�G l�SI�1�NTZAL APP�,I�A'�ION CZTY �F FRID�,EY ❑ OwNPR SUBMTf A CDPY �F ""'�"`'.-¢- ° vr YO UR STATE STATE iICE1�T5L LICENS�, $OND AND STnT�; BOND # _ esRTUrcArE oF Anaxr-ss:�; IlvS[�tANCB PIiONE �pJ?.� +� �,n/' j�ONfItACTOIt � Permit No. R�ceived � �` �� �,,� l �--- ,_EXPDATE A �j�Z G�CY DATF ��,��`�/ �lf��—' c1�'Y /�%rn "zr�-�s✓!� SiA1'E,�,f/i�jp�%l � z... Fnx 9.1 � —�3'� �/ �� PE�j12fT T'YPE �WCLE FAMlLY p TWO TAMtLY ❑ T�(7VV�IIIOi1SE TYPE QX'' WOI�: ❑ MEW �itEPLACEt�'TET1T DET,4Ir„� T►�,S�C�RT�''TION C�F 1V�?RI� .� �f _� �„►►,� � _f���+�'/I�y -.,..�'�i—. . r��s AR� B.4ssT� ON 5i 0-00 P�R FrXt'Ul�, EXCEP t' W F�EIL� NOTED, rixT[IRES: �rnnJICAT�, TpTAL NC7MB�R 47F EACH BELOVI�, 11�vn�rUM Ff� S35.SQ � BATII 31NKR.AV _„FLOOR DItAiNS _ SHOWEIt _�ATI3T'11B � GAS PIPING (NE�17 CiTY LIC) .._ 5 W1IvA9NG POOL WA.TER PTYING _ CLOTkES WASHER � KTTCI�IV S1NK !r WATER SOF7NER (�35) _DISIiWASHEIt 4 LAiJNDRY TRAY �, WATER C1A5ET _$AGKIT.OW PREV. (S15) �1�VATER xEA'xER (335) FOR IIc�t1GATipN W�� M�T�� `OTIiER ��Ar'f�%irSil���.� �$PGdirr,it.Y+�ia�.ta�c��R.n.� �,n...-,,,..._,...,....._. �. . " . .. ... . _ . ._ ., . . „ . , ,�����mm...,,� o '�IIS [5 AN qpFLICAxI4N �OR A P�1ZM��'-NOT VqL� UIJ'fIL pRp�ESSED j hereby apply far a plumbi»� pc�ni{ at1�l I ac owlcd�e [h:�t tlie anformatiail �bove is complete aild accurate; ��t thc work will be in col�lformance with the orc3inanGe,q and cOdes of Ci °ridley and witb, the Mnt�esota Co�isktpction Codes; that I unde��stan@ this is 11tot x pcnnit but oniy au appur.�tion fpr & Pcn.r�i� wor is not to start wi[hout a p��it on 51te; that the work witl be ;in aCCOrdance with thc appxovcd p]� in ti�e c Il whi �eqU' � re Pew and a Epro £pj�n�. �,,/ S[GNATUREUFqPPI.[CqNf +- �4� � DA'T�E O �r i�'�r APPR�VAT.INSPECT01tS SIGN �%�U � / / � � 1 ��.a��,ni�i,,.�v->�,.e...�..�,....._ ., .. _ i City o�Frtd�ey � ing ��uspecti:ons Department 6431 �Tz�i�versity Aven,uc NE, k'ridley,ll�IN 55432 763-572-�604 FAX: 763-SU2-4977 11