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P - 45393Bui�d�z�g Inspec�xons 7��-s�z-��a4 763�50�-4977 FA� From: unknown Page: 2/2 Date: 7/11/2011 9:34:51 AM �'�,UM�ING �SID►��TTIA�., Al'PI.��ATI�� �IT� UF FRYD�,,,EY __ EFF�C'1'IVE I-1-2011 Perntit Received By: �._; '-i � DAr� '! 1 I I 1 t YOUR E-MAIL ADDF�ESS cs. �, a. c.d c+-.�'+.�.0 N-'ri nM1� �, vc.j� Ora s� 3[7'�AaDRESS J`���5 �i �'~ YY'tO G( 1^ I"�I .i TH15 APPL[CANT XS: E� OWNER �CpNTRACTOR OWIVER/ TENA1iz'�' NAM ''� S IC."� an�ttESS:_�';-; S` 7fs' �- f�; �^Y� o v-� clrY. PHONE: � �.--�QCtz � `��z .�,�"O � 'ATE��$]P S S''F 1..v1v l liAl:l VK NAME'� �S C(� �'i`i 1Y4C .{� � �%I�i��4'� '�.. �J�.)'c��--e�"' j�{ �t�{�.,ey'S� L I-- � SU�MITA COPY OF � " .���.�--� �_�-- � .,..� YOUR STqT'E STp7E LICENSE # � C!2 (� �'S't �" � � __ g7(P DATE I � � � I I �4 � �. LICEN SE, BOND AND STATP 1BbND � ��- R, � S' (p i'� �u (p �XP DATE �, t�-__ _� 1 � Z. Q I 4 CERT[F[CATE OF aDn�SS; I� `{ ��, u t j � ri, N ,��x�rX 1�., � h STATE, m� ZIP �S ��. INSURANCE PHON� 1 L 2,�%S � Q(� ti l�. �e 4�w.b-�r F.ax -7 1,�3—<ti-� t -��f-4c�( ' _.. I � � ^'. n � Jr .. _ � ...� .�... � - P�RMYT TYPE TYPE 0�' WORK: �SINGLE FAMILX CJ NEW DETAIC,�p DESC2tIPTION O�' Wf?RK ❑ rW0 FAMYLY �It�PLACEMENT ❑ TQWNHOUS� fE�s qR�E ,g,qSLD t1N 510.40 P�R Fi�'�URE, �XCE�'I' WHEk,E NOTED. FIXTURES: pND[CATE TOTAL NUMBER OF EACFI B6LOW), MiNIMUM FEE $35.50. ,,,_, SA.TH SfN�C/i.AV FL04R DRATNS _„_ 5}#OWER _ BA?'H7'U$ t'rAS PtPING (NEED Cl"fY L�C) SWIMMING PODL _„_, CL07'HE5 WqSHER � K17�HEN 5iN1C � WATER CLOS�T _ DISHWASHER _ LAUNX,IRY TRA'Y �,WA,TSA HEATER ($35} _ _ WAT�R METER WATER PIPlNG � WA�'ER SOFTNER ($35) SACKFI,OW FREV. {$15) � FOii IRRIGA.TIOTJ ,,,_,_ 0�'HER : . ., ... ...,;:�,: - Number of fixtuKes :.� $].� 00 x��10.Q0�= $ _ ' Nur�ber af furti�'es (a� $I5'=00 �, `-'x �'l$ 00 = $ ' ' r " � . , , „_,., - : : ,:. ..... , ., - ... . r. . . .. .. . .. . , ,,,: .. , ,.. ,, . . . . ,,,,,; : ,: .. ;. , . , . ::::� � ::� _. _:.. . ,,.. -. ....,.: .. Nu�'►ber of ,fixt�es u� $35 OD:,� x;�3S 04 �� �:� � d� l .. .,:. :..�: ,... - • ..... , ..., . . . ,.,,, : Stabe Siiroha�r e .. ,. .... , . S . . ..: ....... . . .. :5. :,: . , .:. ... . . , .. . : , . ..� . ... . .: � oa : , ... , . . ,,.,. , .. . .., . . , ..:. .. , ... . ., , � .., _. .� . , . . .. ... ,::: ... ,, : , ... . ,;... .,,:-:: .. . . . .: _ ��w�C� .. . 'N�iMU'1Vl'$4fl:�D �Tota`['..-.� , � TFI1S 1$ AN APPLICATIOT�E F012 A PERMii-tVOT VALIU I,fAITIL PROC�$$Ep 1 hereby apply for a pturzibing pe�zit and I acknowledge that the inforrnation above is eamp��te an� accur�te; that the work wilt be in conformance with the ordinances and codes of the City o Fridtey and with the Minnesota Construction Codes; that [ wnderstand this is not a permit bui only an app�ication for a perntit w is not tc� Start without a permir or� site; that the work will be in accordance with r1�e approved plan an the case of al! rk which r �ires review and appra al of p,�ans_. � I ,g 51GNATURE OF APPLICANT P�tii�fTNA1�lE�� 1 K�t`r�'f°o�� pATE I/� �� 1/J . sibtront��� r��a��.-.,....,�n,,.4........... yc�ry Qf F�K�i�y �ua�ding X�spect�ons Departme�t 643 � Universzty Avez�ue NE, k'zidley, MN 55432 763-572-3604 kAX: 763-502-4977