P - 75260ZTCi� ��_ � u�
�
,�- • • • �
�-. �' � •' ' � ` 1 . \
�� i
Installer of
OwnedOccupa t �.y�-lGJav � ��-/�kl Job �� ���
PropertyAddress _�J � D D �, /[ t U-�1 �c�- Ztp �j �, f�.�2
Date b`� '�^g� Permit No. ��� G o1�3�pate Filed 7� 8^�%
O Add�fonal rough-in inspecdon was required.
❑ No access - scheduled fnspection.
�Fee shortage - aee computation.
O Reinspecdon fee.
Fee Camputat(on:
�
�:� ; �' �.sj�
��'p MAR 13 2008
Zcrs�� -� � � �� P 6� '°' (�O. �
�P� _ � �, s
�
�
� CITY OF FRIDLEY
6431 UNIVERSITY AVE NE
FRIDLEY MN 55432 �x
townshireb rn�t tis order with your cho the amount of /)6` �' payable to the city/
P Y ( — � �K��
Inspectcr � C_ l''i� � S�/''� Telephone � S� ��r�� e��
RETURNTHI� ORDER WITH P6IYMENTTOTHE CITY/TOWNSHIP WHERETFIE JOB IS LOCATED. RC-02